Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $255.74 / $423.26	Professional		$171.87	$255.74	$423.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $452.79 / $731.38	Professional		$246.93	$452.79	$731.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $305.51 / $536.47	Professional		$154.59	$305.51	$536.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $438.15 / $2,969.00	Facility		$255.74	$438.15	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $438.91 / $1,261.11	Professional		$273.00	$438.91	$1,261.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.19 / $392.82 / $626.48	Facility		$255.19	$392.82	$626.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $438.91 / $673.17	Professional		$328.24	$438.91	$673.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $295.74 / $461.78	Professional		$156.04	$295.74	$461.78
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 $264.77 / $361.05 / $627.16	Professional		$264.77	$361.05	$627.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $355.70 / $529.40	Professional		$302.39	$355.70	$529.40