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 / $9,231.36	Facility		$2,234.00	$3,795.64	$9,231.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $407.88 / $736.62	Professional		$142.86	$407.88	$736.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.19 / $927.20 / $1,226.10	Professional		$306.19	$927.20	$1,226.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $568.65 / $1,259.61	Professional		$186.16	$568.65	$1,259.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $993.48 / $1,640.00	Facility		$271.33	$993.48	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.41 / $1,191.39 / $2,200.17	Professional		$383.41	$1,191.39	$2,200.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.02 / $927.20 / $1,344.92	Facility		$338.02	$927.20	$1,344.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.23 / $927.20 / $1,346.03	Professional		$312.23	$927.20	$1,346.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $295.24 / $779.71	Professional		$143.22	$295.24	$779.71
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 $592.51 / $1,085.08 / $1,705.41	Professional		$592.51	$1,085.08	$1,705.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $336.80 / $1,000.10	Professional		$286.30	$336.80	$1,000.10