Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $546.62 / $994.83	Professional		$149.81	$546.62	$994.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $600.17 / $1,631.24	Professional		$215.56	$600.17	$1,631.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.06 / $771.78 / $1,255.76	Professional		$128.06	$771.78	$1,255.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $926.29 / $1,655.76	Facility		$263.23	$926.29	$1,655.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.51 / $1,258.00 / $4,275.92	Professional		$363.51	$1,258.00	$4,275.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.39 / $1,226.33 / $1,621.89	Facility		$298.39	$1,226.33	$1,621.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $1,070.89 / $1,586.79	Professional		$298.39	$1,070.89	$1,586.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $496.12 / $1,031.52	Professional		$139.86	$496.12	$1,031.52
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 $610.61 / $1,100.78 / $1,791.68	Professional		$610.61	$1,100.78	$1,791.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $334.70 / $1,322.70	Professional		$273.60	$334.70	$1,322.70