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 / $6,446.00	Facility		$2,234.00	$3,795.64	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $369.62 / $460.75	Professional		$164.99	$369.62	$460.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $357.67 / $843.38	Professional		$282.81	$357.67	$843.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $417.44 / $1,061.76	Professional		$124.36	$417.44	$1,061.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.39 / $706.64 / $1,640.00	Facility		$321.39	$706.64	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.20 / $727.41 / $1,969.00	Professional		$338.20	$727.41	$1,969.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.32 / $647.73 / $935.14	Facility		$309.32	$647.73	$935.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $601.08 / $901.51	Professional		$290.39	$601.08	$901.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $264.25 / $554.26	Professional		$134.16	$264.25	$554.26
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 $349.13 / $684.75 / $1,019.78	Professional		$349.13	$684.75	$1,019.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $313.20 / $698.60	Professional		$266.20	$313.20	$698.60