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 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $219.30 / $691.27	Professional		$127.37	$219.30	$691.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $350.69 / $593.94	Professional		$157.08	$350.69	$593.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $295.89 / $468.38	Professional		$126.42	$295.89	$468.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.77 / $350.69 / $3,044.00	Facility		$208.77	$350.69	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.59 / $469.68 / $1,708.32	Professional		$238.59	$469.68	$1,708.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.48 / $341.06 / $589.74	Facility		$262.48	$341.06	$589.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.16 / $366.86 / $593.94	Professional		$272.16	$366.86	$593.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $418.80 / $623.00	Professional		$5.00	$418.80	$623.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $331.95 / $675.38	Professional		$227.00	$331.95	$675.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $307.80 / $514.20	Professional		$251.60	$307.80	$514.20