Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,277.00 / $8,738.95	Facility		$2,906.00	$4,277.00	$8,738.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $309.81 / $768.17	Professional		$195.97	$309.81	$768.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $456.32 / $599.91	Professional		$293.31	$456.32	$599.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $293.49 / $527.91	Professional		$123.27	$293.49	$527.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $391.65 / $1,204.00	Facility		$239.35	$391.65	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $469.06 / $1,661.02	Professional		$253.56	$469.06	$1,661.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.54 / $344.66 / $569.27	Facility		$169.54	$344.66	$569.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $398.57 / $569.27	Professional		$266.58	$398.57	$569.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $406.30 / $560.50	Professional		$6.00	$406.30	$560.50
United Facility/Professional Facility Modifier Low / Median / High Price $254.92 / $583.50 / $1,966.00	Facility		$254.92	$583.50	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.29 / $410.72 / $649.04	Professional		$229.29	$410.72	$649.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $292.20 / $454.60	Professional		$248.30	$292.20	$454.60