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 $449.41 / $713.84 / $827.79	Professional		$449.41	$713.84	$827.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,214.68 / $1,420.77	Professional		$886.00	$1,214.68	$1,420.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $468.80 / $753.81 / $1,505.71	Professional		$468.80	$753.81	$1,505.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.16 / $1,083.58 / $1,401.05	Facility		$514.16	$1,083.58	$1,401.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.60 / $1,081.26 / $3,665.36	Professional		$535.60	$1,081.26	$3,665.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $1,088.01 / $1,414.22	Facility		$207.58	$1,088.01	$1,414.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $853.85 / $1,152.99 / $1,420.77	Professional		$853.85	$1,152.99	$1,420.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $771.58 / $1,018.38	Professional		$269.32	$771.58	$1,018.38
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 $506.00 / $771.04 / $1,436.06	Professional		$506.00	$771.04	$1,436.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $821.84 / $1,040.30 / $1,223.90	Professional		$821.84	$1,040.30	$1,223.90