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 $105.34 / $188.89 / $459.85	Professional		$105.34	$188.89	$459.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $303.85 / $523.89	Professional		$145.84	$303.85	$523.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $265.06 / $425.30	Professional		$110.25	$265.06	$425.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.31 / $298.00 / $1,770.00	Facility		$188.31	$298.00	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $404.71 / $1,581.52	Professional		$206.40	$404.71	$1,581.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.23 / $298.00 / $523.89	Facility		$231.23	$298.00	$523.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.75 / $345.16 / $523.89	Professional		$226.75	$345.16	$523.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $222.97 / $399.30	Professional		$114.34	$222.97	$399.30
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 $194.85 / $309.30 / $583.92	Professional		$194.85	$309.30	$583.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $270.10 / $480.20	Professional		$220.80	$270.10	$480.20