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 $165.64 / $304.67 / $906.37	Professional		$165.64	$304.67	$906.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $499.04 / $1,298.80	Professional		$204.56	$499.04	$1,298.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $479.50 / $808.52	Professional		$171.60	$479.50	$808.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $502.71 / $3,396.00	Facility		$221.73	$502.71	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $448.61 / $3,924.32	Professional		$210.47	$448.61	$3,924.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $981.32 / $1,555.47	Facility		$296.00	$981.32	$1,555.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $448.61 / $1,298.80	Professional		$277.75	$448.61	$1,298.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $480.40 / $1,715.33	Professional		$193.46	$480.40	$1,715.33
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 $192.93 / $327.98 / $570.95	Professional		$192.93	$327.98	$570.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.90 / $442.90 / $1,183.80	Professional		$361.90	$442.90	$1,183.80