Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $3,666.78 / $6,446.00	Facility		$2,906.00	$3,666.78	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $316.60 / $723.19	Professional		$130.34	$316.60	$723.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $387.29 / $724.56	Professional		$284.27	$387.29	$724.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $357.99 / $792.24	Professional		$121.04	$357.99	$792.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $614.41 / $4,699.47	Facility		$323.70	$614.41	$4,699.47
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $472.30 / $472.30 / $472.30	Facility	52	$472.30	$472.30	$472.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $554.95 / $1,853.04	Professional		$293.52	$554.95	$1,853.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $307.25 / $563.00 / $1,476.40	Facility		$307.25	$563.00	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $475.67 / $665.73	Professional		$283.83	$475.67	$665.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $256.86 / $1,589.47	Professional		$129.30	$256.86	$1,589.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.72 / $536.54 / $777.69	Professional		$263.72	$536.54	$777.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $240.30 / $282.80 / $545.20	Professional		$240.30	$282.80	$545.20