Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,891.63 / $3,666.78 / $7,119.04	Facility		$1,891.63	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $242.92 / $714.00	Professional		$134.41	$242.92	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $309.97 / $462.59	Professional		$155.61	$309.97	$462.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $193.09 / $360.42	Professional		$109.48	$193.09	$360.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.99 / $281.61 / $2,969.00	Facility		$165.99	$281.61	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $284.52 / $818.56	Professional		$176.99	$284.52	$818.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.04 / $252.32 / $395.90	Facility		$164.04	$252.32	$395.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $299.79 / $430.75	Professional		$213.23	$299.79	$430.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $190.60 / $290.17	Professional		$104.81	$190.60	$290.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $225.62 / $397.03	Professional		$157.93	$225.62	$397.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $230.90 / $333.40	Professional		$196.20	$230.90	$333.40