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 $104.46 / $276.33 / $608.89	Professional		$104.46	$276.33	$608.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.61 / $453.50 / $965.36	Professional		$230.61	$453.50	$965.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $383.70 / $573.21	Professional		$98.75	$383.70	$573.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $377.00 / $1,204.00	Facility		$184.43	$377.00	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $671.17 / $2,580.71	Professional		$257.66	$671.17	$2,580.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $314.49 / $854.50	Facility		$112.33	$314.49	$854.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $407.58 / $854.50	Professional		$202.60	$407.58	$854.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $496.20 / $965.80	Professional		$5.00	$496.20	$965.80
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 $306.27 / $621.17 / $1,029.42	Professional		$306.27	$621.17	$1,029.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $231.30 / $751.10	Professional		$196.60	$231.30	$751.10