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 $153.80 / $260.60 / $260.60	Professional		$153.80	$260.60	$260.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $462.59 / $486.96	Professional		$370.07	$462.59	$486.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $296.57 / $686.42	Professional		$164.47	$296.57	$686.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.24 / $420.34 / $1,607.00	Facility		$253.24	$420.34	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $400.10 / $1,268.80	Professional		$211.62	$400.10	$1,268.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $244.62 / $324.50 / $478.00	Facility		$244.62	$324.50	$478.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $388.64 / $510.58	Professional		$266.07	$388.64	$510.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $322.10 / $438.80	Professional		$4.00	$322.10	$438.80
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 $193.30 / $344.77 / $538.20	Professional		$193.30	$344.77	$538.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $336.70 / $336.70 / $396.10	Professional		$336.70	$336.70	$396.10