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 $154.43 / $207.52 / $750.74	Professional		$154.43	$207.52	$750.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $346.70 / $476.22	Professional		$177.26	$346.70	$476.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $217.65 / $315.81	Professional		$123.41	$217.65	$315.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $307.26 / $1,607.00	Facility		$188.21	$307.26	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.78 / $326.22 / $925.12	Professional		$189.78	$326.22	$925.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.33 / $366.08 / $516.96	Facility		$269.33	$366.08	$516.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $328.03 / $458.08	Professional		$239.97	$328.03	$458.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $200.26 / $307.39	Professional		$112.19	$200.26	$307.39
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 $169.20 / $248.49 / $435.26	Professional		$169.20	$248.49	$435.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.10 / $260.20 / $350.80	Professional		$221.10	$260.20	$350.80