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 $121.44 / $241.02 / $468.61	Professional		$121.44	$241.02	$468.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $448.25 / $737.41	Professional		$273.26	$448.25	$737.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $343.61 / $521.54	Professional		$111.66	$343.61	$521.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.61 / $420.76 / $1,387.80	Facility		$238.61	$420.76	$1,387.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $544.27 / $2,003.76	Professional		$270.00	$544.27	$2,003.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $273.26 / $375.42 / $663.52	Facility		$273.26	$375.42	$663.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $375.42 / $663.52	Professional		$267.45	$375.42	$663.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $458.60 / $745.10	Professional		$5.00	$458.60	$745.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $493.57 / $776.23	Professional		$262.30	$493.57	$776.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $269.70 / $574.20	Professional		$229.20	$269.70	$574.20