Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,259.25 / $7,119.04	Facility		$2,218.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $321.00 / $971.00	Professional		$176.15	$321.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $424.61 / $603.54	Professional		$222.82	$424.61	$603.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $275.29 / $477.67	Professional		$147.88	$275.29	$477.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.10 / $384.69 / $2,969.00	Facility		$224.10	$384.69	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.61 / $386.84 / $1,106.48	Professional		$237.61	$386.84	$1,106.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.91 / $344.22 / $565.36	Facility		$235.91	$344.22	$565.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $395.88 / $603.54	Professional		$288.04	$395.88	$603.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $259.75 / $416.92	Professional		$139.38	$259.75	$416.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.06 / $324.02 / $551.85	Professional		$224.06	$324.02	$551.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $312.50 / $477.80	Professional		$265.60	$312.50	$477.80