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 $482.68 / $768.25 / $768.25	Professional		$482.68	$768.25	$768.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.54 / $1,298.04 / $1,456.92	Professional		$1,145.54	$1,298.04	$1,456.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.08 / $920.36 / $1,515.53	Professional		$489.08	$920.36	$1,515.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.70 / $1,298.04 / $3,876.00	Facility		$720.70	$1,298.04	$3,876.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $688.84 / $1,249.92 / $3,905.52	Professional		$688.84	$1,249.92	$3,905.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $508.65 / $952.00 / $1,389.55	Facility		$508.65	$952.00	$1,389.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.34 / $1,145.54 / $1,604.92	Professional		$831.34	$1,145.54	$1,604.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $942.90 / $1,293.30	Professional		$7.00	$942.90	$1,293.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.48 / $1,095.65 / $1,680.48	Professional		$619.48	$1,095.65	$1,680.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,010.10 / $1,010.10 / $1,188.40	Professional		$1,010.10	$1,010.10	$1,188.40