Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $272.61 / $289.54	Professional		$174.45	$272.61	$289.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.26 / $438.18 / $525.89	Professional		$351.26	$438.18	$525.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $288.51 / $630.98	Professional		$179.88	$288.51	$630.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.61 / $439.05 / $1,607.00	Facility		$272.61	$439.05	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $384.99 / $1,415.04	Professional		$204.95	$384.99	$1,415.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $349.29 / $451.32 / $601.72	Facility		$349.29	$451.32	$601.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $417.80 / $581.63	Professional		$273.20	$417.80	$581.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $317.61 / $381.47	Professional		$177.93	$317.61	$381.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $299.02 / $566.44	Professional		$196.02	$299.02	$566.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $374.80 / $440.90	Professional		$296.08	$374.80	$440.90