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 $368.01 / $586.16 / $695.87	Professional		$368.01	$586.16	$695.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $1,026.84 / $1,283.57	Professional		$725.00	$1,026.84	$1,283.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.34 / $621.30 / $1,058.85	Professional		$371.34	$621.30	$1,058.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.01 / $991.26 / $1,914.00	Facility		$592.01	$991.26	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $893.42 / $3,002.16	Professional		$447.51	$893.42	$3,002.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $822.02 / $994.91 / $1,597.11	Facility		$822.02	$994.91	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $698.00 / $969.40 / $1,193.78	Professional		$698.00	$969.40	$1,193.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.42 / $735.47 / $1,727.45	Professional		$406.42	$735.47	$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 $425.17 / $659.26 / $1,318.14	Professional		$425.17	$659.26	$1,318.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $690.54 / $874.10 / $1,028.30	Professional		$690.54	$874.10	$1,028.30