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 $353.65 / $559.45 / $659.25	Professional		$353.65	$559.45	$659.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $968.88 / $1,221.24	Professional		$674.00	$968.88	$1,221.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $589.78 / $1,160.01	Professional		$369.74	$589.78	$1,160.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.01 / $939.41 / $1,966.00	Facility		$574.01	$939.41	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.80 / $848.56 / $2,887.60	Professional		$420.80	$848.56	$2,887.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $779.65 / $956.86 / $1,597.11	Facility		$779.65	$956.86	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $910.73 / $1,130.13	Professional		$650.00	$910.73	$1,130.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.15 / $706.51 / $1,727.45	Professional		$390.15	$706.51	$1,727.45
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 $399.76 / $609.95 / $1,124.61	Professional		$399.76	$609.95	$1,124.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $656.02 / $830.40 / $977.00	Professional		$656.02	$830.40	$977.00