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 $79.00 / $294.77 / $563.97	Professional		$79.00	$294.77	$563.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $358.60 / $919.52	Professional		$108.54	$358.60	$919.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $428.04 / $1,320.37	Professional		$96.89	$428.04	$1,320.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.78 / $399.78 / $953.11	Facility		$143.78	$399.78	$953.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.92 / $707.30 / $1,710.55	Professional		$315.92	$707.30	$1,710.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.85 / $255.59 / $889.58	Facility		$192.85	$255.59	$889.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $610.42 / $972.64	Professional		$191.41	$610.42	$972.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $966.60	Professional		$4.00	$4.00	$966.60
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 $332.56 / $505.47 / $1,028.41	Professional		$332.56	$505.47	$1,028.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $206.50 / $732.30	Professional		$168.80	$206.50	$732.30