Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $204.81 / $280.25	Professional		$141.22	$204.81	$280.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $375.92 / $522.00	Professional		$198.00	$375.92	$522.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $237.06 / $344.12	Professional		$134.40	$237.06	$344.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $327.41 / $1,607.00	Facility		$204.81	$327.41	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.53 / $356.96 / $1,023.00	Professional		$207.53	$356.96	$1,023.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $404.66 / $572.52	Facility		$296.00	$404.66	$572.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $359.50 / $502.71	Professional		$258.89	$359.50	$502.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $221.41 / $345.00	Professional		$124.04	$221.41	$345.00
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 $189.48 / $270.69 / $514.28	Professional		$189.48	$270.69	$514.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $286.00 / $387.80	Professional		$243.10	$286.00	$387.80