Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $483.27 / $540.29	Professional		$297.68	$483.27	$540.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.49 / $775.20 / $969.01	Professional		$609.49	$775.20	$969.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $481.88 / $1,066.03	Professional		$313.79	$481.88	$1,066.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.94 / $839.40 / $7,123.00	Facility		$399.94	$839.40	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.65 / $656.67 / $2,412.35	Professional		$350.65	$656.67	$2,412.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $622.42 / $867.04 / $2,961.89	Facility		$622.42	$867.04	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $505.04 / $742.34 / $1,001.80	Professional		$505.04	$742.34	$1,001.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $580.86 / $3,259.56	Professional		$294.64	$580.86	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.71 / $510.03 / $949.93	Professional		$334.71	$510.03	$949.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $517.13 / $654.60 / $770.10	Professional		$517.13	$654.60	$770.10