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 $149.44 / $256.66 / $402.39	Professional		$149.44	$256.66	$402.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.87 / $457.72 / $718.72	Professional		$314.87	$457.72	$718.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $331.47 / $586.58	Professional		$149.52	$331.47	$586.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.66 / $432.36 / $1,712.24	Facility		$256.66	$432.36	$1,712.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.13 / $478.00 / $1,697.26	Professional		$258.13	$478.00	$1,697.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $271.23 / $402.96 / $665.70	Facility		$271.23	$402.96	$665.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.79 / $473.87 / $682.16	Professional		$328.79	$473.87	$682.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $282.07 / $454.39	Professional		$153.81	$282.07	$454.39
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 $243.43 / $376.56 / $699.58	Professional		$243.43	$376.56	$699.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $365.40 / $563.20	Professional		$310.60	$365.40	$563.20