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 $153.91 / $256.30 / $941.22	Professional		$153.91	$256.30	$941.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.40 / $417.35 / $496.93	Professional		$365.40	$417.35	$496.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $292.98 / $868.67	Professional		$163.06	$292.98	$868.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $463.58 / $1,623.00	Facility		$207.64	$463.58	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $400.95 / $1,080.15	Professional		$198.82	$400.95	$1,080.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $268.86 / $533.00	Facility		$171.35	$268.86	$533.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $291.17 / $417.35 / $533.91	Professional		$291.17	$417.35	$533.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $227.06 / $353.89	Professional		$184.48	$227.06	$353.89
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 $182.25 / $265.08 / $497.04	Professional		$182.25	$265.08	$497.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $308.89 / $363.40	Professional		$244.03	$308.89	$363.40