Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $407.70 / $603.79	Professional		$314.56	$407.70	$603.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.66 / $888.95 / $1,111.19	Professional		$638.66	$888.95	$1,111.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.16 / $554.72 / $1,072.95	Professional		$320.16	$554.72	$1,072.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.41 / $848.66 / $1,914.00	Facility		$541.41	$848.66	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.27 / $767.84 / $2,713.19	Professional		$392.27	$767.84	$2,713.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $722.01 / $898.67 / $1,597.11	Facility		$722.01	$898.67	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $840.81 / $1,034.92	Professional		$615.60	$840.81	$1,034.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $630.21 / $1,727.45	Professional		$347.32	$630.21	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $571.51 / $1,051.77	Professional		$366.51	$571.51	$1,051.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $754.70 / $887.90	Professional		$596.21	$754.70	$887.90