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 $315.63 / $411.93 / $605.45	Professional		$315.63	$411.93	$605.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.09 / $865.35 / $1,038.85	Professional		$585.09	$865.35	$1,038.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.17 / $521.99 / $982.04	Professional		$324.17	$521.99	$982.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.58 / $840.94 / $5,163.00	Facility		$435.58	$840.94	$5,163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $750.90 / $2,576.56	Professional		$383.15	$750.90	$2,576.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $662.28 / $865.35 / $2,932.27	Facility		$662.28	$865.35	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $533.04 / $818.93 / $1,036.14	Professional		$533.04	$818.93	$1,036.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $627.66 / $3,254.15	Professional		$349.75	$627.66	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.79 / $557.30 / $1,032.39	Professional		$364.79	$557.30	$1,032.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.77 / $763.00 / $897.70	Professional		$602.77	$763.00	$897.70