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 $194.46 / $347.92 / $548.37	Professional		$194.46	$347.92	$548.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.49 / $551.00 / $1,013.64	Professional		$287.49	$551.00	$1,013.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $441.21 / $642.11	Professional		$122.59	$441.21	$642.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.48 / $548.37 / $1,204.00	Facility		$250.48	$548.37	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.04 / $728.95 / $2,773.92	Professional		$312.04	$728.95	$2,773.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $402.33 / $918.72	Facility		$209.07	$402.33	$918.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $521.41 / $918.72	Professional		$260.58	$521.41	$918.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $539.70 / $1,008.80	Professional		$5.00	$539.70	$1,008.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.46 / $613.54 / $1,075.61	Professional		$363.46	$613.54	$1,075.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $287.10 / $817.80	Professional		$244.00	$287.10	$817.80