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 $109.17 / $222.24 / $360.95	Professional		$109.17	$222.24	$360.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $512.37 / $715.39	Professional		$156.60	$512.37	$715.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $310.52 / $428.07	Professional		$94.31	$310.52	$428.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $433.14 / $1,607.00	Facility		$156.47	$433.14	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.40 / $604.09 / $1,036.98	Professional		$209.40	$604.09	$1,036.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $501.80 / $797.02	Facility		$171.78	$501.80	$797.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $501.80 / $797.02	Professional		$156.47	$501.80	$797.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $209.45 / $428.24	Professional		$72.51	$209.45	$428.24
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 $318.52 / $557.03 / $864.09	Professional		$318.52	$557.03	$864.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $491.00	Professional		$127.50	$150.00	$491.00