Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $252.09 / $471.76	Professional		$138.44	$252.09	$471.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.16 / $396.37 / $774.23	Professional		$195.16	$396.37	$774.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $261.69 / $475.34	Professional		$130.29	$261.69	$475.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.12 / $624.54 / $4,663.00	Facility		$299.12	$624.54	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.12 / $508.83 / $1,024.24	Professional		$299.12	$508.83	$1,024.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.52 / $624.54 / $991.94	Facility		$319.52	$624.54	$991.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.12 / $495.45 / $777.57	Professional		$299.12	$495.45	$777.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $256.74 / $1,022.04	Professional		$125.98	$256.74	$1,022.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $385.61 / $759.12	Professional		$278.33	$385.61	$759.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $304.80 / $585.90	Professional		$259.10	$304.80	$585.90