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 $121.79 / $180.09 / $394.11	Professional		$121.79	$180.09	$394.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $341.73 / $489.86	Professional		$257.36	$341.73	$489.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $240.11 / $500.36	Professional		$106.33	$240.11	$500.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.95 / $406.49 / $1,530.58	Facility		$258.95	$406.49	$1,530.58
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $421.46 / $421.46 / $421.46	Facility	52	$421.46	$421.46	$421.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $389.00 / $1,280.96	Professional		$221.39	$389.00	$1,280.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $254.62 / $386.57 / $556.54	Facility		$254.62	$386.57	$556.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $342.33 / $464.78	Professional		$250.53	$342.33	$464.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $339.70 / $455.60	Professional		$6.00	$339.70	$455.60
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 $193.87 / $376.87 / $525.92	Professional		$193.87	$376.87	$525.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $252.30 / $371.20	Professional		$214.50	$252.30	$371.20