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 $154.07 / $310.01 / $580.38	Professional		$154.07	$310.01	$580.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.91 / $475.25 / $949.53	Professional		$239.91	$475.25	$949.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $321.94 / $697.81	Professional		$150.13	$321.94	$697.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $360.27 / $705.96 / $5,232.66	Facility		$360.27	$705.96	$5,232.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $604.77 / $1,240.88	Professional		$360.27	$604.77	$1,240.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $360.27 / $484.43 / $814.79	Facility		$360.27	$484.43	$814.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $596.30 / $929.00	Professional		$360.27	$596.30	$929.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $313.64 / $581.11	Professional		$150.13	$313.64	$581.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.69 / $497.01 / $980.84	Professional		$341.69	$497.01	$980.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $312.10 / $367.10 / $719.40	Professional		$312.10	$367.10	$719.40