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 $222.96 / $336.31 / $943.81	Professional		$222.96	$336.31	$943.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.30 / $534.66 / $859.93	Professional		$291.30	$534.66	$859.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.39 / $362.74 / $654.50	Professional		$173.39	$362.74	$654.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $524.57 / $1,623.00	Facility		$282.88	$524.57	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.02 / $496.34 / $1,396.24	Professional		$306.02	$496.34	$1,396.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $421.25 / $570.61 / $791.18	Facility		$421.25	$570.61	$791.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.05 / $504.42 / $812.36	Professional		$360.05	$504.42	$812.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.98 / $343.58 / $676.50	Professional		$188.98	$343.58	$676.50
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 $290.58 / $415.13 / $727.70	Professional		$290.58	$415.13	$727.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $339.10 / $399.00 / $626.40	Professional		$339.10	$399.00	$626.40