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 $107.78 / $186.92 / $751.00	Professional		$107.78	$186.92	$751.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $436.30 / $671.97	Professional		$272.97	$436.30	$671.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $280.63 / $544.46	Professional		$141.16	$280.63	$544.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $390.47 / $1,000.60	Facility		$195.11	$390.47	$1,000.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $464.13 / $1,140.08	Professional		$247.64	$464.13	$1,140.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.56 / $378.94 / $571.39	Facility		$262.56	$378.94	$571.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.92 / $397.06 / $616.11	Professional		$292.92	$397.06	$616.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $273.63 / $417.92	Professional		$140.03	$273.63	$417.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $2,126.00	Facility		$1,026.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $425.12 / $671.80	Professional		$227.01	$425.12	$671.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $340.40 / $515.50	Professional		$289.39	$340.40	$515.50