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 $78.89 / $133.12 / $216.77	Professional		$78.89	$133.12	$216.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $287.31 / $431.74	Professional		$112.97	$287.31	$431.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $188.72 / $505.91	Professional		$67.77	$188.72	$505.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $250.92 / $1,607.00	Facility		$112.82	$250.92	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $363.90 / $593.73	Professional		$152.60	$363.90	$593.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $287.31 / $462.67	Facility		$126.46	$287.31	$462.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $287.31 / $462.67	Professional		$112.82	$287.31	$462.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $126.47 / $259.13	Professional		$51.88	$126.47	$259.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.46 / $296.69 / $516.49	Professional		$182.46	$296.69	$516.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $108.10 / $296.39	Professional		$91.90	$108.10	$296.39