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 $115.88 / $284.25 / $891.00	Professional		$115.88	$284.25	$891.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.19 / $349.62 / $570.69	Professional		$192.19	$349.62	$570.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $236.82 / $417.83	Professional		$121.51	$236.82	$417.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.23 / $313.91 / $2,969.00	Facility		$184.23	$313.91	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $324.02 / $911.84	Professional		$203.98	$324.02	$911.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.96 / $289.58 / $486.86	Facility		$211.96	$289.58	$486.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.14 / $338.60 / $519.54	Professional		$237.14	$338.60	$519.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $213.81 / $359.64	Professional		$116.68	$213.81	$359.64
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 $201.46 / $278.16 / $470.13	Professional		$201.46	$278.16	$470.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $257.39 / $412.20	Professional		$218.80	$257.39	$412.20