Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $465.82 / $624.83	Professional		$219.85	$465.82	$624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $581.51 / $783.00	Professional		$316.89	$581.51	$783.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $336.18 / $1,175.06	Professional		$192.42	$336.18	$1,175.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.20 / $806.61 / $1,607.00	Facility		$406.20	$806.61	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.42 / $851.24 / $2,839.00	Professional		$549.42	$851.24	$2,839.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $581.51 / $1,128.90	Facility		$249.33	$581.51	$1,128.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.23 / $821.77 / $1,214.99	Professional		$535.23	$821.77	$1,214.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $344.99 / $481.09	Professional		$198.44	$344.99	$481.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.21 / $797.94 / $1,481.86	Professional		$536.21	$797.94	$1,481.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $397.92 / $476.20 / $592.60	Professional		$397.92	$476.20	$592.60