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 $471.09 / $601.83 / $890.99	Professional		$471.09	$601.83	$890.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.45 / $1,297.13 / $1,640.01	Professional		$953.45	$1,297.13	$1,640.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $820.52 / $2,583.78	Professional		$491.60	$820.52	$2,583.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.60 / $1,257.44 / $1,966.00	Facility		$758.60	$1,257.44	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $1,137.02 / $3,932.82	Professional		$576.72	$1,137.02	$3,932.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,050.59 / $1,270.01 / $1,627.90	Facility		$1,050.59	$1,270.01	$1,627.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $919.01 / $1,244.61 / $1,528.86	Professional		$919.01	$1,244.61	$1,528.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $519.80 / $944.80 / $1,727.45	Professional		$519.80	$944.80	$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 $544.79 / $831.30 / $1,548.29	Professional		$544.79	$831.30	$1,548.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $884.72 / $1,119.90 / $1,317.50	Professional		$884.72	$1,119.90	$1,317.50