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 $211.72 / $314.27 / $1,221.33	Professional		$211.72	$314.27	$1,221.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.12 / $511.09 / $638.86	Professional		$247.12	$511.09	$638.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $332.16 / $1,016.92	Professional		$223.10	$332.16	$1,016.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.78 / $597.71 / $3,044.00	Facility		$327.78	$597.71	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $498.94 / $1,704.64	Professional		$258.61	$498.94	$1,704.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $425.18 / $711.75 / $924.50	Facility		$425.18	$711.75	$924.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $546.41 / $703.90	Professional		$363.29	$546.41	$703.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $395.27 / $1,011.61	Professional		$207.31	$395.27	$1,011.61
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 $247.37 / $382.62 / $732.05	Professional		$247.37	$382.62	$732.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $439.60 / $517.20	Professional		$347.28	$439.60	$517.20