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 $381.73 / $571.47 / $2,154.85	Professional		$381.73	$571.47	$2,154.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.55 / $938.04 / $1,172.55	Professional		$415.55	$938.04	$1,172.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $378.16 / $614.71 / $1,114.67	Professional		$378.16	$614.71	$1,114.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.50 / $779.15 / $1,282.83	Facility		$336.50	$779.15	$1,282.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.28 / $899.12 / $3,083.68	Professional		$454.28	$899.12	$3,083.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $656.00 / $1,234.33	Facility		$199.85	$656.00	$1,234.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $908.28 / $1,234.33	Professional		$600.00	$908.28	$1,234.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $755.10 / $1,056.20	Professional		$5.00	$755.10	$1,056.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.69 / $646.91 / $1,268.66	Professional		$428.69	$646.91	$1,268.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $632.71 / $800.90 / $942.20	Professional		$632.71	$800.90	$942.20