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 $128.94 / $228.18 / $315.42	Professional		$128.94	$228.18	$315.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.63 / $403.28 / $1,519.55	Professional	50	$344.63	$403.28	$1,519.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $347.90 / $464.54	Professional		$163.58	$347.90	$464.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $167.52 / $436.59	Professional		$114.93	$167.52	$436.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $278.75 / $433.16 / $1,607.00	Facility		$278.75	$433.16	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $362.75 / $953.52	Professional		$181.06	$362.75	$953.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $317.33 / $479.09	Facility		$249.33	$317.33	$479.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $268.63 / $362.75 / $479.09	Professional		$268.63	$362.75	$479.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $216.79 / $329.94	Professional		$118.06	$216.79	$329.94
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 $165.97 / $244.95 / $491.16	Professional		$165.97	$244.95	$491.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.11 / $284.10 / $354.50	Professional		$238.11	$284.10	$354.50