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 $159.31 / $285.55 / $949.00	Professional		$159.31	$285.55	$949.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $394.83 / $589.19	Professional		$191.74	$394.83	$589.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $244.92 / $501.39	Professional		$146.81	$244.92	$501.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $452.78 / $1,371.00	Facility		$286.56	$452.78	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $423.19 / $1,217.04	Professional		$230.47	$423.19	$1,217.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.27 / $381.34 / $505.60	Facility		$194.27	$381.34	$505.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $422.01 / $590.99	Professional		$312.00	$422.01	$590.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $252.11 / $366.80	Professional		$147.21	$252.11	$366.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $307.30 / $571.04	Professional		$208.79	$307.30	$571.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $359.70 / $451.00	Professional		$302.81	$359.70	$451.00