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 $74.48 / $205.88 / $496.71	Professional		$74.48	$205.88	$496.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $296.68 / $878.44	Professional		$124.10	$296.68	$878.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $394.93 / $714.44	Professional		$75.44	$394.93	$714.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $453.00 / $874.21	Facility		$158.96	$453.00	$874.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.68 / $635.14 / $2,719.44	Professional		$274.68	$635.14	$2,719.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $429.00 / $767.86	Facility		$158.96	$429.00	$767.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $461.41 / $834.69	Professional		$158.96	$461.41	$834.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $266.47 / $556.12	Professional		$76.19	$266.47	$556.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $513.65 / $894.17	Professional		$301.70	$513.65	$894.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $191.60 / $678.70	Professional		$156.60	$191.60	$678.70