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 $260.82 / $487.90 / $547.66	Professional		$260.82	$487.90	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.98 / $784.40 / $1,026.46	Professional		$500.98	$784.40	$1,026.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $285.66 / $440.15 / $650.32	Professional		$285.66	$440.15	$650.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.54 / $673.92 / $925.55	Facility		$363.54	$673.92	$925.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.02 / $673.96 / $2,323.92	Professional		$329.02	$673.96	$2,323.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $670.00 / $929.78	Facility		$207.58	$670.00	$929.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $737.97 / $929.78	Professional		$485.00	$737.97	$929.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $506.14 / $668.54	Professional		$269.32	$506.14	$668.54
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 $312.20 / $501.36 / $933.78	Professional		$312.20	$501.36	$933.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $546.52 / $691.80 / $813.90	Professional		$546.52	$691.80	$813.90