Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $215.62 / $400.00	Professional		$145.38	$215.62	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $390.83 / $526.59	Professional		$217.37	$390.83	$526.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $237.42 / $501.01	Professional		$97.15	$237.42	$501.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $442.49 / $3,396.00	Facility		$154.91	$442.49	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.87 / $492.73 / $1,840.20	Professional		$281.87	$492.73	$1,840.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $321.48 / $539.13	Facility		$159.91	$321.48	$539.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.82 / $416.00 / $650.09	Professional		$240.82	$416.00	$650.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $174.23 / $307.95	Professional		$93.08	$174.23	$307.95
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 $276.33 / $441.64 / $873.89	Professional		$276.33	$441.64	$873.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $217.40 / $384.30	Professional		$184.80	$217.40	$384.30