Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $229.43 / $463.20	Professional		$136.55	$229.43	$463.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $476.47 / $778.13	Professional		$292.57	$476.47	$778.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $374.40 / $665.43	Professional		$123.14	$374.40	$665.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.55 / $541.60 / $1,277.32	Facility		$327.55	$541.60	$1,277.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.55 / $602.40 / $2,323.10	Professional		$300.55	$602.40	$2,323.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $306.76 / $413.55 / $749.42	Facility		$306.76	$413.55	$749.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $414.02 / $749.42	Professional		$292.57	$414.02	$749.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $461.60 / $737.90	Professional		$6.00	$461.60	$737.90
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 $287.33 / $538.38 / $850.77	Professional		$287.33	$538.38	$850.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $291.39 / $585.79	Professional		$247.70	$291.39	$585.79