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 $134.11 / $201.70 / $409.18	Professional		$134.11	$201.70	$409.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $343.73 / $501.55	Professional		$267.10	$343.73	$501.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $262.95 / $434.15	Professional		$113.32	$262.95	$434.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.78 / $347.54 / $2,651.52	Facility		$178.78	$347.54	$2,651.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $373.34 / $1,322.40	Professional		$205.27	$373.34	$1,322.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.31 / $280.83 / $455.68	Facility		$147.31	$280.83	$455.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.12 / $319.54 / $469.02	Professional		$239.12	$319.54	$469.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $284.10 / $462.60	Professional		$3.00	$284.10	$462.60
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 $184.43 / $341.89 / $522.04	Professional		$184.43	$341.89	$522.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $272.20 / $396.80	Professional		$231.40	$272.20	$396.80