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 $181.87 / $258.12 / $1,040.52	Professional		$181.87	$258.12	$1,040.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $484.00 / $679.90	Professional		$239.90	$484.00	$679.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $302.72 / $546.79	Professional		$156.84	$302.72	$546.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.12 / $443.38 / $1,314.20	Facility		$258.12	$443.38	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $444.43 / $1,274.32	Professional		$260.95	$444.43	$1,274.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $409.92 / $604.29	Facility		$226.54	$409.92	$604.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $452.78 / $653.34	Professional		$331.80	$452.78	$653.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $281.38 / $443.32	Professional		$155.24	$281.38	$443.32
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 $254.64 / $329.33 / $600.24	Professional		$254.64	$329.33	$600.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $358.50 / $510.60	Professional		$304.70	$358.50	$510.60