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 $311.43 / $524.33 / $1,018.19	Professional		$311.43	$524.33	$1,018.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.00 / $851.07 / $1,071.26	Professional		$618.00	$851.07	$1,071.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $522.34 / $1,606.86	Professional		$326.54	$522.34	$1,606.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.86 / $829.12 / $3,258.00	Facility		$527.86	$829.12	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.28 / $751.46 / $2,550.80	Professional		$370.28	$751.46	$2,550.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $845.35 / $1,597.11	Facility		$684.85	$845.35	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $802.48 / $990.82	Professional		$592.00	$802.48	$990.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.86 / $627.16 / $1,727.45	Professional		$345.86	$627.16	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.22 / $536.72 / $999.64	Professional		$352.22	$536.72	$999.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $576.94 / $730.30 / $859.20	Professional		$576.94	$730.30	$859.20