Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,912.34 / $6,766.19	Facility		$1,300.00	$2,912.34	$6,766.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.62 / $214.91 / $637.79	Professional		$93.62	$214.91	$637.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $305.80 / $451.88	Professional		$151.91	$305.80	$451.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $186.99 / $341.31	Professional		$105.64	$186.99	$341.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.05 / $270.48 / $1,341.00	Facility		$160.05	$270.48	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $273.73 / $791.20	Professional		$165.00	$273.73	$791.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $239.75 / $385.87	Facility		$168.21	$239.75	$385.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $290.66 / $419.84	Professional		$206.00	$290.66	$419.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $184.21 / $283.85	Professional		$100.77	$184.21	$283.85
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 $158.47 / $216.11 / $375.39	Professional		$158.47	$216.11	$375.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $223.90 / $325.70	Professional		$190.30	$223.90	$325.70