Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $246.91 / $889.98	Professional		$140.57	$246.91	$889.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.30 / $383.29 / $679.75	Professional		$192.30	$383.29	$679.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $335.27 / $551.77	Professional		$142.43	$335.27	$551.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.91 / $383.25 / $2,146.44	Facility		$246.91	$383.25	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $542.41 / $1,940.40	Professional		$264.00	$542.41	$1,940.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.81 / $383.25 / $679.75	Facility		$295.81	$383.25	$679.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.57 / $423.72 / $679.75	Professional		$295.57	$423.72	$679.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $490.40 / $712.00	Professional		$5.00	$490.40	$712.00
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 $260.81 / $407.60 / $776.08	Professional		$260.81	$407.60	$776.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $347.10 / $582.90	Professional		$283.70	$347.10	$582.90