Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $231.46 / $291.50	Professional		$163.18	$231.46	$291.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.87 / $393.01 / $511.28	Professional		$307.87	$393.01	$511.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $247.39 / $406.12	Professional		$130.61	$247.39	$406.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $396.19 / $2,651.52	Facility		$231.86	$396.19	$2,651.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $393.01 / $1,332.40	Professional		$227.26	$393.01	$1,332.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $332.64 / $458.63	Facility		$132.91	$332.64	$458.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.41 / $368.88 / $470.79	Professional		$270.41	$368.88	$470.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $309.89 / $445.80	Professional		$3.00	$309.89	$445.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.29 / $356.73 / $547.15	Professional		$193.29	$356.73	$547.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $313.70 / $400.50	Professional		$266.70	$313.70	$400.50