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 $136.63 / $232.50 / $695.19	Professional		$136.63	$232.50	$695.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $355.46 / $628.15	Professional		$270.02	$355.46	$628.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $280.18 / $446.72	Professional		$110.84	$280.18	$446.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $365.89 / $6,692.06	Facility		$223.70	$365.89	$6,692.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $468.70 / $1,611.76	Professional		$238.00	$468.70	$1,611.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $256.22 / $320.44 / $563.51	Facility		$256.22	$320.44	$563.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $353.48 / $563.51	Professional		$262.00	$353.48	$563.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $407.10 / $587.79	Professional		$5.00	$407.10	$587.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.35 / $421.30 / $646.17	Professional		$218.35	$421.30	$646.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $280.10 / $486.20	Professional		$238.10	$280.10	$486.20