Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $225.01 / $869.81	Professional		$147.43	$225.01	$869.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $369.00 / $450.37	Professional		$189.28	$369.00	$450.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.09 / $265.44 / $492.01	Professional		$157.09	$265.44	$492.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $369.66 / $1,300.00	Facility		$219.29	$369.66	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $369.00 / $1,999.29	Professional		$191.81	$369.00	$1,999.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $370.94 / $524.54	Facility		$252.67	$370.94	$524.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.67 / $369.00 / $496.44	Professional		$252.67	$369.00	$496.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $318.10 / $419.00	Professional		$213.30	$318.10	$419.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $255.74 / $520.33	Professional		$175.82	$255.74	$520.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.07 / $325.39 / $382.80	Professional		$257.07	$325.39	$382.80