Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,604.83 / $7,119.04	Facility		$1,516.00	$4,604.83	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.99 / $379.10 / $1,059.64	Professional		$192.99	$379.10	$1,059.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $499.60 / $982.64	Professional		$399.68	$499.60	$982.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $538.58 / $1,027.54	Professional		$170.35	$538.58	$1,027.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.34 / $681.28 / $7,131.46	Facility		$373.34	$681.28	$7,131.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $752.54 / $2,590.32	Professional		$400.30	$752.54	$2,590.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.84 / $486.48 / $923.53	Facility		$337.84	$486.48	$923.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $575.46 / $952.39	Professional		$383.04	$575.46	$952.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $358.17 / $654.00	Professional		$180.81	$358.17	$654.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.63 / $627.29 / $1,056.41	Professional		$388.63	$627.29	$1,056.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.70 / $407.90 / $766.90	Professional		$346.70	$407.90	$766.90