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 $151.81 / $295.99 / $503.31	Professional		$151.81	$295.99	$503.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $440.19 / $982.64	Professional		$241.39	$440.19	$982.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $467.00 / $1,070.88	Professional		$145.02	$467.00	$1,070.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.83 / $570.15 / $961.42	Facility		$313.83	$570.15	$961.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.23 / $737.31 / $2,554.96	Professional		$388.23	$737.31	$2,554.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $340.61 / $570.15 / $980.71	Facility		$340.61	$570.15	$980.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $340.61 / $575.41 / $945.09	Professional		$340.61	$575.41	$945.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $303.70 / $638.69	Professional		$150.85	$303.70	$638.69
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 $368.65 / $690.39 / $1,090.98	Professional		$368.65	$690.39	$1,090.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.30 / $367.50 / $764.10	Professional		$300.30	$367.50	$764.10