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 $205.69 / $368.36 / $1,172.04	Professional		$205.69	$368.36	$1,172.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.53 / $585.19 / $941.62	Professional		$249.53	$585.19	$941.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.23 / $441.44 / $576.73	Professional		$210.23	$441.44	$576.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.50 / $568.35 / $2,146.44	Facility		$345.50	$568.35	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.36 / $684.43 / $2,606.40	Professional		$365.36	$684.43	$2,606.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $543.63 / $863.55	Facility		$364.00	$543.63	$863.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $414.24 / $596.90 / $941.62	Professional		$414.24	$596.90	$941.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $576.79 / $935.80	Professional		$5.00	$576.79	$935.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.14 / $522.91 / $1,044.54	Professional		$341.14	$522.91	$1,044.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $531.60 / $804.10	Professional		$434.50	$531.60	$804.10