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 $360.84 / $532.41 / $721.30	Professional		$360.84	$532.41	$721.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.57 / $989.08 / $1,331.29	Professional		$691.57	$989.08	$1,331.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.87 / $646.52 / $1,039.43	Professional		$390.87	$646.52	$1,039.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.36 / $854.42 / $1,219.00	Facility		$431.36	$854.42	$1,219.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.17 / $818.17 / $3,068.24	Professional		$422.17	$818.17	$3,068.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $851.97 / $1,133.79	Facility		$207.58	$851.97	$1,133.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $898.84 / $1,133.79	Professional		$658.00	$898.84	$1,133.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $645.53 / $887.72	Professional		$269.32	$645.53	$887.72
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 $387.19 / $638.46 / $1,200.39	Professional		$387.19	$638.46	$1,200.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $908.10 / $1,068.30	Professional		$717.40	$908.10	$1,068.30