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 $175.88 / $285.45 / $351.54	Professional		$175.88	$285.45	$351.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.11 / $457.63 / $596.90	Professional		$325.11	$457.63	$596.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $304.60 / $523.66	Professional		$174.02	$304.60	$523.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $449.36 / $616.05	Facility		$233.36	$449.36	$616.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $439.54 / $1,440.00	Professional		$225.16	$439.54	$1,440.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $411.11 / $571.47	Facility		$207.58	$411.11	$571.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $436.55 / $583.75	Professional		$333.00	$436.55	$583.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $269.32 / $396.50	Professional		$174.17	$269.32	$396.50
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 $212.22 / $327.50 / $609.98	Professional		$212.22	$327.50	$609.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $439.60 / $517.20	Professional		$347.28	$439.60	$517.20