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 $298.25 / $461.11 / $1,716.41	Professional		$298.25	$461.11	$1,716.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.48 / $742.48 / $928.10	Professional		$314.48	$742.48	$928.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $494.43 / $1,070.19	Professional		$307.55	$494.43	$1,070.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.42 / $775.81 / $4,697.76	Facility		$380.42	$775.81	$4,697.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.69 / $703.89 / $2,442.96	Professional		$348.69	$703.89	$2,442.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $879.69 / $1,844.64	Facility		$488.00	$879.69	$1,844.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $486.81 / $737.73 / $928.77	Professional		$486.81	$737.73	$928.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $598.00 / $856.20	Professional		$3.00	$598.00	$856.20
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 $338.79 / $517.78 / $1,002.60	Professional		$338.79	$517.78	$1,002.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $516.58 / $653.90 / $769.30	Professional		$516.58	$653.90	$769.30