Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $191.72 / $313.10	Professional		$165.84	$191.72	$313.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.05 / $441.94 / $649.12	Professional		$214.05	$441.94	$649.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $294.02 / $562.07	Professional		$172.15	$294.02	$562.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.63 / $457.47 / $1,966.00	Facility		$274.63	$457.47	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $423.31 / $1,376.72	Professional		$217.24	$423.31	$1,376.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $439.40 / $564.17	Facility		$327.00	$439.40	$564.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $404.66 / $564.17	Professional		$300.00	$404.66	$564.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $235.90 / $486.40	Professional		$3.00	$235.90	$486.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $334.06 / $587.37	Professional		$194.52	$334.06	$587.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $350.50 / $412.40	Professional		$276.89	$350.50	$412.40