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 $146.31 / $207.53 / $360.54	Professional		$146.31	$207.53	$360.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.87 / $393.45 / $563.26	Professional		$204.87	$393.45	$563.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $253.14 / $447.75	Professional		$137.59	$253.14	$447.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.53 / $362.93 / $1,314.20	Facility		$207.53	$362.93	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.89 / $362.45 / $1,024.72	Professional		$216.89	$362.45	$1,024.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.27 / $328.62 / $519.73	Facility		$207.27	$328.62	$519.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $377.20 / $556.74	Professional		$266.94	$377.20	$556.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $239.89 / $380.56	Professional		$125.08	$239.89	$380.56
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 $216.89 / $295.76 / $545.57	Professional		$216.89	$295.76	$545.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $288.80 / $438.70	Professional		$245.50	$288.80	$438.70