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 $121.50 / $277.43 / $518.99	Professional		$121.50	$277.43	$518.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $377.86 / $728.88	Professional		$199.52	$377.86	$728.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $287.25 / $672.65	Professional		$124.69	$287.25	$672.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.02 / $631.73 / $4,645.00	Facility		$286.02	$631.73	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $539.08 / $1,103.48	Professional		$306.70	$539.08	$1,103.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $306.70 / $427.70 / $728.88	Facility		$306.70	$427.70	$728.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $522.04 / $837.86	Professional		$286.02	$522.04	$837.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $273.18 / $519.70	Professional		$119.61	$273.18	$519.70
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 $302.79 / $440.42 / $825.78	Professional		$302.79	$440.42	$825.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $291.50 / $643.79	Professional		$247.80	$291.50	$643.79