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 $208.22 / $256.06 / $403.42	Professional		$208.22	$256.06	$403.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.25 / $563.76 / $710.93	Professional		$390.25	$563.76	$710.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $343.66 / $626.10	Professional		$208.68	$343.66	$626.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.37 / $495.00 / $640.28	Facility		$253.37	$495.00	$640.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.57 / $491.08 / $1,701.60	Professional		$241.57	$491.08	$1,701.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $493.46 / $644.94	Facility		$207.58	$493.46	$644.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $520.57 / $644.94	Professional		$365.00	$520.57	$644.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $367.51 / $460.53	Professional		$225.76	$367.51	$460.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $346.18 / $642.66	Professional		$226.28	$346.18	$642.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $377.70 / $478.10 / $562.50	Professional		$377.70	$478.10	$562.50