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 $284.94 / $476.12 / $591.54	Professional		$284.94	$476.12	$591.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.29 / $875.71 / $1,094.64	Professional		$596.29	$875.71	$1,094.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $465.66 / $995.73	Professional		$336.88	$465.66	$995.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.06 / $824.37 / $11,139.12	Facility		$395.06	$824.37	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.59 / $637.32 / $2,790.96	Professional		$334.59	$637.32	$2,790.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $633.64 / $924.35 / $6,616.19	Facility		$633.64	$924.35	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $729.82 / $974.47	Professional		$473.30	$729.82	$974.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $663.96 / $9,474.33	Professional		$364.11	$663.96	$9,474.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $8,342.00	Facility		$3,711.00	$5,854.53	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $509.86 / $949.61	Professional		$333.93	$509.86	$949.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $580.49 / $734.80 / $864.50	Professional		$580.49	$734.80	$864.50