Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $6,446.00	Facility		$2,234.00	$3,795.64	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $175.23 / $313.52	Professional		$71.20	$175.23	$313.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.13 / $257.27 / $483.04	Professional		$101.13	$257.27	$483.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $229.28 / $580.48	Professional		$73.34	$229.28	$580.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $262.52 / $591.85	Facility		$105.88	$262.52	$591.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $377.04 / $764.55	Professional		$184.50	$377.04	$764.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $313.58 / $523.17	Facility		$151.38	$313.58	$523.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $327.08 / $488.15	Professional		$151.38	$327.08	$488.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $223.50	Professional		$223.50	$223.50	$223.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $346.15 / $575.34	Professional		$194.16	$346.15	$575.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $169.80 / $398.80	Professional		$138.80	$169.80	$398.80