Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.95 / $3,419.00 / $6,446.00	Facility		$1,948.95	$3,419.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $217.67 / $606.00	Professional		$102.13	$217.67	$606.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.11 / $310.77 / $415.84	Professional		$150.11	$310.77	$415.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $182.77 / $315.36	Professional		$99.18	$182.77	$315.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $269.16 / $2,969.00	Facility		$146.80	$269.16	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $266.77 / $804.56	Professional		$151.29	$266.77	$804.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.43 / $237.50 / $355.29	Facility		$161.43	$237.50	$355.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $269.16 / $386.15	Professional		$199.29	$269.16	$386.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $184.14 / $258.14	Professional		$102.56	$184.14	$258.14
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 $144.72 / $197.34 / $354.30	Professional		$144.72	$197.34	$354.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $227.40 / $297.80	Professional		$193.30	$227.40	$297.80