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 $323.52 / $505.72 / $629.84	Professional		$323.52	$505.72	$629.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.77 / $812.07 / $975.82	Professional		$686.77	$812.07	$975.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $577.10 / $1,111.44	Professional		$334.78	$577.10	$1,111.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.72 / $818.65 / $1,607.00	Facility		$505.72	$818.65	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.99 / $725.06 / $2,624.08	Professional		$383.99	$725.06	$2,624.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $832.37 / $1,080.29	Facility		$646.00	$832.37	$1,080.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.45 / $788.94 / $1,080.29	Professional		$581.45	$788.94	$1,080.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.44 / $589.84 / $708.04	Professional		$330.44	$589.84	$708.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $364.84 / $565.89 / $1,104.71	Professional		$364.84	$565.89	$1,104.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $695.70 / $818.40	Professional		$549.60	$695.70	$818.40