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 $210.01 / $342.89 / $388.97	Professional		$210.01	$342.89	$388.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.65 / $580.22 / $725.54	Professional		$415.65	$580.22	$725.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $350.34 / $705.48	Professional		$225.84	$350.34	$705.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.53 / $545.61 / $3,396.00	Facility		$336.53	$545.61	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.48 / $506.73 / $1,834.32	Professional		$244.48	$506.73	$1,834.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $465.59 / $612.57 / $1,597.11	Facility		$465.59	$612.57	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $537.37 / $687.57	Professional		$364.00	$537.37	$687.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.74 / $438.66 / $1,727.45	Professional		$241.74	$438.66	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $355.60 / $662.31	Professional		$233.36	$355.60	$662.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $388.84 / $492.20 / $579.10	Professional		$388.84	$492.20	$579.10