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 $138.09 / $241.69 / $455.61	Professional		$138.09	$241.69	$455.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.78 / $386.72 / $629.32	Professional		$201.78	$386.72	$629.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $300.18 / $568.00	Professional		$137.35	$300.18	$568.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $392.11 / $3,044.00	Facility		$228.77	$392.11	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $506.39 / $1,685.04	Professional		$266.00	$506.39	$1,685.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.55 / $377.86 / $629.13	Facility		$255.55	$377.86	$629.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.83 / $422.28 / $629.32	Professional		$303.83	$422.28	$629.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $452.80 / $626.50	Professional		$5.00	$452.80	$626.50
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 $243.84 / $354.67 / $721.60	Professional		$243.84	$354.67	$721.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $332.90 / $506.60	Professional		$272.10	$332.90	$506.60