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 $167.79 / $271.80 / $302.44	Professional		$167.79	$271.80	$302.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $458.89 / $573.61	Professional		$328.51	$458.89	$573.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $280.95 / $491.66	Professional		$182.57	$280.95	$491.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.08 / $422.05 / $616.05	Facility		$228.08	$422.05	$616.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $397.04 / $1,446.72	Professional		$192.00	$397.04	$1,446.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.05 / $418.31 / $544.48	Facility		$195.05	$418.31	$544.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $426.66 / $544.48	Professional		$296.00	$426.66	$544.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.55 / $314.61 / $390.33	Professional		$193.55	$314.61	$390.33
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 $182.85 / $279.11 / $518.94	Professional		$182.85	$279.11	$518.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $389.50 / $458.30	Professional		$307.70	$389.50	$458.30