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 $210.12 / $388.46 / $1,400.53	Professional		$210.12	$388.46	$1,400.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $612.70 / $775.20	Professional		$274.64	$612.70	$775.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $356.31 / $1,086.86	Professional		$248.52	$356.31	$1,086.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $541.86 / $5,658.92	Facility		$281.39	$541.86	$5,658.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.43 / $532.91 / $1,992.40	Professional		$269.43	$532.91	$1,992.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $326.00 / $659.88 / $2,630.67	Facility		$326.00	$659.88	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $532.91 / $735.01	Professional		$326.00	$532.91	$735.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.90 / $719.50	Professional		$5.00	$402.90	$719.50
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 $262.02 / $397.23 / $744.81	Professional		$262.02	$397.23	$744.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $422.81 / $535.20 / $629.70	Professional		$422.81	$535.20	$629.70