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 $178.14 / $254.38 / $372.77	Professional		$178.14	$254.38	$372.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.89 / $479.15 / $708.98	Professional		$239.89	$479.15	$708.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $298.41 / $542.66	Professional		$154.65	$298.41	$542.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.38 / $435.30 / $1,314.20	Facility		$254.38	$435.30	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $441.69 / $1,251.04	Professional		$258.89	$441.69	$1,251.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.74 / $402.88 / $607.95	Facility		$231.74	$402.88	$607.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $458.12 / $659.34	Professional		$325.94	$458.12	$659.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $287.97 / $446.45	Professional		$153.03	$287.97	$446.45
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 $255.73 / $348.72 / $605.75	Professional		$255.73	$348.72	$605.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $353.60 / $514.10	Professional		$300.60	$353.60	$514.10