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 $202.46 / $452.64 / $712.27	Professional		$202.46	$452.64	$712.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.95 / $1,033.47 / $1,382.90	Professional		$299.95	$1,033.47	$1,382.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $625.04 / $1,255.05	Professional		$177.01	$625.04	$1,255.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $878.42 / $1,607.00	Facility		$290.70	$878.42	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.11 / $1,310.28 / $2,077.28	Professional		$365.11	$1,310.28	$2,077.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.31 / $1,033.47 / $1,542.36	Facility		$338.31	$1,033.47	$1,542.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.12 / $1,033.47 / $1,542.36	Professional		$299.12	$1,033.47	$1,542.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.90 / $1,337.90 / $1,337.90	Professional		$1,337.90	$1,337.90	$1,337.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.64 / $1,240.88 / $1,915.35	Professional		$676.64	$1,240.88	$1,915.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.80 / $310.30 / $1,072.09	Professional		$263.80	$310.30	$1,072.09