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 $125.41 / $197.00 / $281.27	Professional		$125.41	$197.00	$281.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.97 / $379.81 / $502.52	Professional		$253.97	$379.81	$502.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $232.45 / $477.57	Professional		$132.61	$232.45	$477.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.69 / $362.83 / $3,396.00	Facility		$214.69	$362.83	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $351.39 / $1,244.03	Professional		$191.06	$351.39	$1,244.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $291.13 / $407.75 / $1,597.11	Facility		$291.13	$407.75	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $351.39 / $475.59	Professional		$269.42	$351.39	$475.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $237.17 / $1,727.45	Professional		$129.86	$237.17	$1,727.45
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 $175.92 / $268.06 / $499.27	Professional		$175.92	$268.06	$499.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $302.00 / $394.90	Professional		$256.70	$302.00	$394.90