Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $220.84 / $361.81	Professional		$137.49	$220.84	$361.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $467.24 / $634.97	Professional		$295.27	$467.24	$634.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $315.24 / $594.79	Professional		$124.40	$315.24	$594.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.64 / $412.06 / $1,204.00	Facility		$265.64	$412.06	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $471.31 / $1,651.20	Professional		$265.00	$471.31	$1,651.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.53 / $349.14 / $590.89	Facility		$211.53	$349.14	$590.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.82 / $405.10 / $590.89	Professional		$270.82	$405.10	$590.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $365.70 / $573.50	Professional		$3.00	$365.70	$573.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.85 / $451.79 / $729.00	Professional		$240.85	$451.79	$729.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $298.89 / $496.20	Professional		$254.10	$298.89	$496.20