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 $113.26 / $173.86 / $667.92	Professional		$113.26	$173.86	$667.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $283.12 / $346.46	Professional		$152.85	$283.12	$346.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $191.26 / $439.19	Professional		$120.53	$191.26	$439.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $281.93 / $1,151.00	Facility		$166.57	$281.93	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $280.42 / $926.16	Professional		$147.32	$280.42	$926.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $283.12 / $403.59	Facility		$194.56	$283.12	$403.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $283.12 / $403.59	Professional		$194.56	$283.12	$403.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $245.60 / $322.30	Professional		$163.69	$245.60	$322.30
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 $135.05 / $207.80 / $399.65	Professional		$135.05	$207.80	$399.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $249.60 / $293.70	Professional		$197.18	$249.60	$293.70