Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $201.19 / $762.74	Professional		$123.60	$201.19	$762.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $363.26 / $589.19	Professional		$198.09	$363.26	$589.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $243.87 / $425.05	Professional		$126.18	$243.87	$425.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.94 / $332.98 / $2,969.00	Facility		$190.94	$332.98	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $334.24 / $945.68	Professional		$211.00	$334.24	$945.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $301.27 / $502.18	Facility		$219.25	$301.27	$502.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $351.05 / $531.44	Professional		$246.18	$351.05	$531.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $221.41 / $370.24	Professional		$120.17	$221.41	$370.24
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 $209.90 / $270.70 / $485.89	Professional		$209.90	$270.70	$485.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $267.10 / $424.80	Professional		$227.10	$267.10	$424.80