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 $136.36 / $227.02 / $832.66	Professional		$136.36	$227.02	$832.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $361.45 / $427.16	Professional		$323.33	$361.45	$427.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $258.20 / $729.39	Professional		$143.91	$258.20	$729.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.02 / $445.00 / $1,623.00	Facility		$227.02	$445.00	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $347.17 / $906.96	Professional		$175.61	$347.17	$906.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $370.17 / $470.31	Facility		$317.70	$370.17	$470.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $370.17 / $470.31	Professional		$257.08	$370.17	$470.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $292.38 / $441.93	Professional		$162.72	$292.38	$441.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $258.30 / $629.72	Professional		$160.97	$258.30	$629.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $272.70 / $320.80	Professional		$215.43	$272.70	$320.80