Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $310.35 / $612.05	Professional		$61.72	$310.35	$612.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $593.49 / $1,165.73	Professional		$116.87	$593.49	$1,165.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $512.29 / $811.39	Professional		$49.35	$512.29	$811.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $733.17 / $2,032.51	Facility		$125.28	$733.17	$2,032.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $851.94 / $3,009.28	Professional		$140.52	$851.94	$3,009.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $610.78 / $995.94	Facility		$127.87	$610.78	$995.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $578.53 / $1,130.13	Professional		$115.00	$578.53	$1,130.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $635.40 / $1,197.09	Professional		$5.00	$635.40	$1,197.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $5,454.00	Facility		$1,611.00	$3,902.18	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.38 / $777.25 / $1,146.00	Professional		$405.38	$777.25	$1,146.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $119.30 / $890.90	Professional		$101.40	$119.30	$890.90