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 $167.34 / $405.06 / $715.98	Professional		$167.34	$405.06	$715.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.80 / $597.51 / $780.99	Professional		$275.80	$597.51	$780.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $387.81 / $1,044.91	Professional		$122.70	$387.81	$1,044.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $668.78 / $1,640.00	Facility		$314.49	$668.78	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.04 / $675.83 / $1,952.00	Professional		$331.04	$675.83	$1,952.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.66 / $597.51 / $887.46	Facility		$305.66	$597.51	$887.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $571.17 / $850.58	Professional		$286.02	$571.17	$850.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $260.52 / $507.53	Professional		$133.21	$260.52	$507.53
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 $331.04 / $646.75 / $977.96	Professional		$331.04	$646.75	$977.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $308.50 / $644.50	Professional		$262.20	$308.50	$644.50