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 $336.00 / $526.33 / $626.70	Professional		$336.00	$526.33	$626.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $927.13 / $1,118.61	Professional		$624.00	$927.13	$1,118.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.11 / $559.48 / $1,101.10	Professional		$351.11	$559.48	$1,101.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $795.79 / $1,043.61	Facility		$390.65	$795.79	$1,043.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.51 / $801.93 / $2,740.40	Professional		$399.51	$801.93	$2,740.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $801.93 / $1,074.88	Facility		$207.58	$801.93	$1,074.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $866.47 / $1,074.88	Professional		$596.00	$866.47	$1,074.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $583.11 / $768.21	Professional		$269.32	$583.11	$768.21
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 $381.35 / $582.96 / $1,082.31	Professional		$381.35	$582.96	$1,082.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $622.60 / $788.10 / $927.10	Professional		$622.60	$788.10	$927.10