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 $339.47 / $516.32 / $637.90	Professional		$339.47	$516.32	$637.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.70 / $948.76 / $1,103.24	Professional		$628.70	$948.76	$1,103.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $341.66 / $555.97 / $1,104.95	Professional		$341.66	$555.97	$1,104.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.67 / $790.76 / $1,065.71	Facility		$389.67	$790.76	$1,065.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.05 / $807.01 / $2,769.76	Professional		$403.05	$807.01	$2,769.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $807.01 / $1,094.10	Facility		$207.58	$807.01	$1,094.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $876.36 / $1,094.10	Professional		$589.00	$876.36	$1,094.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $593.89 / $784.35	Professional		$269.32	$593.89	$784.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.73 / $586.26 / $1,091.90	Professional		$384.73	$586.26	$1,091.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $637.29 / $806.70 / $949.00	Professional		$637.29	$806.70	$949.00