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 $167.83 / $519.54 / $884.79	Professional		$167.83	$519.54	$884.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $454.80 / $1,684.80	Professional		$363.84	$454.80	$1,684.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $772.94 / $1,664.46	Professional		$220.58	$772.94	$1,664.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.89 / $1,267.08 / $1,775.00	Facility		$318.89	$1,267.08	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.37 / $1,516.15 / $2,998.78	Professional		$450.37	$1,516.15	$2,998.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $396.79 / $1,267.08 / $1,801.37	Facility		$396.79	$1,267.08	$1,801.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.44 / $1,267.08 / $1,763.26	Professional		$370.44	$1,267.08	$1,763.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $349.69 / $1,061.31	Professional		$169.68	$349.69	$1,061.31
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 $774.90 / $1,459.91 / $2,230.38	Professional		$774.90	$1,459.91	$2,230.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $339.60 / $399.60 / $1,366.70	Professional		$339.60	$399.60	$1,366.70