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 $175.36 / $484.33 / $965.52	Professional		$175.36	$484.33	$965.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.34 / $507.39 / $1,502.44	Professional		$233.34	$507.39	$1,502.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $709.31 / $1,464.92	Professional		$204.63	$709.31	$1,464.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.22 / $935.78 / $3,028.08	Facility		$305.22	$935.78	$3,028.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.47 / $1,231.20 / $4,095.04	Professional		$563.47	$1,231.20	$4,095.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $448.48 / $1,156.80 / $1,571.17	Facility		$448.48	$1,156.80	$1,571.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $993.01 / $1,502.44	Professional		$433.84	$993.01	$1,502.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $545.62 / $1,352.84	Professional		$175.30	$545.62	$1,352.84
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 $578.08 / $897.28 / $1,710.76	Professional		$578.08	$897.28	$1,710.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $348.50 / $426.40 / $1,220.09	Professional		$348.50	$426.40	$1,220.09