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 $209.74 / $311.08 / $1,210.04	Professional		$209.74	$311.08	$1,210.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $505.64 / $632.04	Professional		$244.87	$505.64	$632.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.07 / $329.34 / $1,005.92	Professional		$221.07	$329.34	$1,005.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.76 / $592.21 / $3,590.15	Facility		$324.76	$592.21	$3,590.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $494.07 / $1,689.04	Professional		$256.20	$494.07	$1,689.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $421.25 / $705.85 / $1,193.67	Facility		$421.25	$705.85	$1,193.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $541.32 / $697.67	Professional		$359.90	$541.32	$697.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $391.91 / $1,304.33	Professional		$205.67	$391.91	$1,304.33
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 $245.07 / $408.60 / $725.25	Professional		$245.07	$408.60	$725.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $344.20 / $435.70 / $512.60	Professional		$344.20	$435.70	$512.60