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 $251.64 / $372.78 / $1,452.72	Professional		$251.64	$372.78	$1,452.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $606.14 / $757.67	Professional		$291.82	$606.14	$757.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $394.35 / $1,200.81	Professional		$264.98	$394.35	$1,200.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.33 / $706.21 / $3,590.15	Facility		$371.33	$706.21	$3,590.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.79 / $591.27 / $2,024.32	Professional		$307.79	$591.27	$2,024.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $504.80 / $847.35 / $1,193.67	Facility		$504.80	$847.35	$1,193.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $431.63 / $649.99 / $840.53	Professional		$431.63	$649.99	$840.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $469.28 / $1,304.33	Professional		$245.75	$469.28	$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 $294.39 / $453.38 / $871.25	Professional		$294.39	$453.38	$871.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $412.14 / $521.70 / $613.79	Professional		$412.14	$521.70	$613.79