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 $182.14 / $291.47 / $900.68	Professional		$182.14	$291.47	$900.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $394.41 / $607.34	Professional		$223.98	$394.41	$607.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $277.25 / $473.54	Professional		$148.90	$277.25	$473.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.39 / $388.12 / $2,969.00	Facility		$225.39	$388.12	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.54 / $387.74 / $1,110.48	Professional		$238.54	$387.74	$1,110.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.43 / $346.05 / $566.66	Facility		$236.43	$346.05	$566.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.94 / $389.66 / $607.34	Professional		$288.94	$389.66	$607.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $262.93 / $419.90	Professional		$140.38	$262.93	$419.90
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 $238.54 / $325.27 / $565.02	Professional		$238.54	$325.27	$565.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $315.30 / $480.60	Professional		$268.00	$315.30	$480.60