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 $367.97 / $613.96 / $718.05	Professional		$367.97	$613.96	$718.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.87 / $1,056.46 / $1,320.57	Professional		$775.87	$1,056.46	$1,320.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.43 / $645.44 / $1,077.83	Professional		$420.43	$645.44	$1,077.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $871.96 / $1,232.22	Facility		$375.00	$871.96	$1,232.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.09 / $807.09 / $3,402.64	Professional		$430.09	$807.09	$3,402.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $846.52 / $1,127.52	Facility		$201.84	$846.52	$1,127.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $619.47 / $939.24 / $1,232.22	Professional		$619.47	$939.24	$1,232.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $493.70 / $881.25	Professional		$268.38	$493.70	$881.25
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 $410.54 / $625.58 / $1,165.15	Professional		$410.54	$625.58	$1,165.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $713.84 / $903.60 / $1,063.00	Professional		$713.84	$903.60	$1,063.00