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 $94.81 / $190.43 / $430.00	Professional		$94.81	$190.43	$430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $261.82 / $575.28	Professional		$122.04	$261.82	$575.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $278.30 / $700.49	Professional		$90.65	$278.30	$700.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.93 / $304.38 / $1,735.52	Facility		$174.93	$304.38	$1,735.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $459.09 / $1,067.95	Professional		$230.68	$459.09	$1,067.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.26 / $293.62 / $555.14	Facility		$213.26	$293.62	$555.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.26 / $392.02 / $581.95	Professional		$213.26	$392.02	$581.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $209.70 / $390.70	Professional		$89.15	$209.70	$390.70
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 $220.65 / $350.80 / $652.98	Professional		$220.65	$350.80	$652.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $230.10 / $483.20	Professional		$188.00	$230.10	$483.20