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 $111.40 / $410.73 / $834.90	Professional		$111.40	$410.73	$834.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $462.52 / $1,485.16	Professional		$166.23	$462.52	$1,485.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $668.72 / $1,220.66	Professional		$98.77	$668.72	$1,220.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.33 / $834.90 / $1,410.98	Facility		$209.33	$834.90	$1,410.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.31 / $1,136.32 / $4,525.52	Professional		$286.31	$1,136.32	$4,525.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $1,101.00 / $1,434.23	Facility		$229.97	$1,101.00	$1,434.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $936.08 / $1,439.99	Professional		$229.97	$936.08	$1,439.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $282.04 / $1,323.70	Professional		$122.82	$282.04	$1,323.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $951.49 / $1,604.86	Professional		$542.79	$951.49	$1,604.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $258.00 / $1,193.20	Professional		$210.90	$258.00	$1,193.20