Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.05 / $3,576.15 / $7,119.04	Facility		$1,452.05	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $160.19 / $375.64	Professional		$76.20	$160.19	$375.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $318.00 / $663.21	Professional		$164.41	$318.00	$663.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $298.10 / $461.43	Professional		$86.65	$298.10	$461.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.74 / $361.06 / $3,258.00	Facility		$139.74	$361.06	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $386.12 / $1,609.05	Professional		$212.92	$386.12	$1,609.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.52 / $467.73 / $1,311.70	Facility		$168.52	$467.73	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $321.67 / $569.03	Professional		$165.47	$321.67	$569.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $210.78 / $1,421.20	Professional		$83.53	$210.78	$1,421.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.29 / $350.57 / $696.46	Professional		$226.29	$350.57	$696.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $195.50 / $513.40	Professional		$166.20	$195.50	$513.40