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 $155.38 / $258.27 / $377.12	Professional		$155.38	$258.27	$377.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $475.60 / $646.14	Professional		$305.00	$475.60	$646.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $300.48 / $418.36	Professional		$185.31	$300.48	$418.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $407.65 / $640.28	Facility		$238.54	$407.65	$640.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $438.63 / $1,508.40	Professional		$218.96	$438.63	$1,508.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $381.73 / $601.03	Facility		$207.58	$381.73	$601.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $438.86 / $611.09	Professional		$288.75	$438.86	$611.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $329.37 / $461.44	Professional		$206.79	$329.37	$461.44
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 $214.47 / $343.78 / $680.44	Professional		$214.47	$343.78	$680.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $378.73 / $473.40 / $564.00	Professional		$378.73	$473.40	$564.00