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 $161.46 / $232.67 / $378.57	Professional		$161.46	$232.67	$378.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.51 / $439.22 / $683.66	Professional		$230.51	$439.22	$683.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $285.30 / $509.65	Professional		$150.00	$285.30	$509.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.67 / $405.73 / $1,314.20	Facility		$232.67	$405.73	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $404.37 / $1,145.04	Professional		$244.02	$404.37	$1,145.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.23 / $367.90 / $584.08	Facility		$231.23	$367.90	$584.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $430.72 / $633.72	Professional		$298.27	$430.72	$633.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $269.23 / $429.94	Professional		$139.77	$269.23	$429.94
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 $232.93 / $332.76 / $566.99	Professional		$232.93	$332.76	$566.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $322.89 / $493.80	Professional		$274.50	$322.89	$493.80