Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $436.98 / $1,810.53	Professional		$311.89	$436.98	$1,810.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $740.92 / $926.16	Professional		$354.22	$740.92	$926.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.68 / $550.71 / $1,738.06	Professional		$317.68	$550.71	$1,738.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.77 / $758.33 / $1,371.00	Facility		$448.77	$758.33	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.02 / $669.12 / $3,411.19	Professional		$368.02	$669.12	$3,411.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $774.84 / $1,041.44	Facility		$602.00	$774.84	$1,041.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.52 / $744.53 / $1,041.44	Professional		$535.52	$744.53	$1,041.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $618.20 / $849.80	Professional		$6.00	$618.20	$849.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $2,126.00	Facility		$1,026.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.90 / $535.29 / $1,001.17	Professional		$357.90	$535.29	$1,001.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $539.25 / $682.60 / $803.10	Professional		$539.25	$682.60	$803.10