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 $170.72 / $259.67 / $315.27	Professional		$170.72	$259.67	$315.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $456.85 / $591.14	Professional		$343.43	$456.85	$591.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $284.18 / $469.77	Professional		$164.36	$284.18	$469.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.40 / $438.09 / $616.05	Facility		$229.40	$438.09	$616.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $408.04 / $1,414.34	Professional		$213.89	$408.04	$1,414.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.37 / $408.04 / $540.19	Facility		$199.37	$408.04	$540.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $443.23 / $540.19	Professional		$323.00	$443.23	$540.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $284.60 / $366.89	Professional		$173.01	$284.60	$366.89
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 $195.87 / $298.45 / $555.89	Professional		$195.87	$298.45	$555.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.73 / $390.80 / $459.80	Professional		$308.73	$390.80	$459.80