Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.12 / $232.80 / $355.37	Professional		$205.12	$232.80	$355.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.17 / $505.29 / $617.44	Professional		$446.17	$505.29	$617.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.89 / $363.54 / $729.59	Professional		$210.89	$363.54	$729.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.37 / $549.03 / $1,607.00	Facility		$355.37	$549.03	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.91 / $460.76 / $1,662.66	Professional		$238.91	$460.76	$1,662.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $409.32 / $520.42 / $697.67	Facility		$409.32	$520.42	$697.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.78 / $494.17 / $677.41	Professional		$351.78	$494.17	$677.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $359.23 / $438.82	Professional		$201.25	$359.23	$438.82
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 $226.96 / $397.68 / $703.63	Professional		$226.96	$397.68	$703.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $344.20 / $435.70 / $512.60	Professional		$344.20	$435.70	$512.60