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 $61.64 / $148.03 / $298.18	Professional		$61.64	$148.03	$298.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $217.05 / $289.24	Professional		$121.54	$217.05	$289.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $148.29 / $312.64	Professional		$51.08	$148.29	$312.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.40 / $236.93 / $1,216.61	Facility		$119.40	$236.93	$1,216.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $224.67 / $751.52	Professional		$122.00	$224.67	$751.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.21 / $143.44 / $280.79	Facility		$98.21	$143.44	$280.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $188.02 / $299.85	Professional		$120.08	$188.02	$299.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $267.70 / $340.70	Professional		$3.00	$267.70	$340.70
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 $111.41 / $221.33 / $380.15	Professional		$111.41	$221.33	$380.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $115.10 / $210.60	Professional		$97.80	$115.10	$210.60