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 $213.68 / $362.83 / $450.37	Professional		$213.68	$362.83	$450.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $433.59 / $1,035.25	Professional		$197.25	$433.59	$1,035.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $310.80 / $834.63	Professional		$165.48	$310.80	$834.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.90 / $622.22 / $1,607.00	Facility		$327.90	$622.22	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $449.30 / $889.71 / $1,632.01	Professional		$449.30	$889.71	$1,632.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $260.55 / $490.32 / $894.82	Facility		$260.55	$490.32	$894.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $479.20 / $1,035.25	Professional		$260.55	$479.20	$1,035.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $311.95 / $558.08	Professional		$167.16	$311.95	$558.08
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 $563.11 / $802.25 / $1,593.99	Professional		$563.11	$802.25	$1,593.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $316.39 / $545.60	Professional		$268.89	$316.39	$545.60