Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $236.02 / $864.00	Professional		$124.31	$236.02	$864.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $405.70 / $595.04	Professional		$225.60	$405.70	$595.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $272.14 / $476.31	Professional		$150.00	$272.14	$476.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.13 / $398.87 / $4,869.67	Facility		$223.13	$398.87	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.71 / $389.89 / $1,175.20	Professional		$222.71	$389.89	$1,175.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.54 / $356.77 / $508.45	Facility		$201.54	$356.77	$508.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $401.63 / $551.88	Professional		$302.27	$401.63	$551.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $263.87 / $379.10	Professional		$152.88	$263.87	$379.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $304.27 / $520.76	Professional		$211.43	$304.27	$520.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $335.50 / $433.10	Professional		$285.20	$335.50	$433.10