Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.70 / $1,129.70 / $1,129.70	Facility		$1,129.70	$1,129.70	$1,129.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $224.57 / $354.71	Professional		$111.89	$224.57	$354.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $470.21 / $538.55	Professional		$265.63	$470.21	$538.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $239.10 / $763.45	Professional		$177.03	$239.10	$763.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.03 / $333.18 / $1,190.09	Facility		$177.03	$333.18	$1,190.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $527.77 / $1,354.45	Professional		$202.54	$527.77	$1,354.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $527.77 / $543.99	Facility		$265.63	$527.77	$543.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $527.77 / $578.87	Professional		$265.63	$527.77	$578.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.60 / $467.72 / $506.44	Professional		$186.60	$467.72	$506.44
United Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $486.02 / $813.98	Professional		$260.87	$486.02	$813.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $168.30 / $168.30	Professional		$132.96	$168.30	$168.30