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 $315.31 / $986.81 / $1,776.87	Professional		$315.31	$986.81	$1,776.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.42 / $775.98 / $1,035.29	Professional		$398.42	$775.98	$1,035.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $409.33 / $2,262.38	Professional		$245.16	$409.33	$2,262.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.44 / $1,295.46 / $3,258.00	Facility		$528.44	$1,295.46	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.83 / $905.42 / $4,000.04	Professional		$390.83	$905.42	$4,000.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.48 / $713.12 / $1,007.53	Facility		$284.48	$713.12	$1,007.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $799.86 / $1,790.03	Professional		$630.00	$799.86	$1,790.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $574.35 / $574.35 / $574.35	Facility		$574.35	$574.35	$574.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.98 / $425.49 / $609.20	Professional		$272.98	$425.49	$609.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.54 / $613.89 / $1,355.85	Professional		$374.54	$613.89	$1,355.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.57 / $634.90 / $746.90	Professional		$501.57	$634.90	$746.90