Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $242.33 / $938.73	Professional		$157.56	$242.33	$938.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.13 / $444.09 / $684.63	Professional		$231.13	$444.09	$684.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $286.22 / $551.95	Professional		$150.00	$286.22	$551.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.57 / $405.73 / $2,969.00	Facility		$234.57	$405.73	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.16 / $403.89 / $1,157.83	Professional		$269.16	$403.89	$1,157.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $242.68 / $358.72 / $585.62	Facility		$242.68	$358.72	$585.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.62 / $451.89 / $642.05	Professional		$315.62	$451.89	$642.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $273.39 / $433.31	Professional		$146.62	$273.39	$433.31
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 $235.74 / $336.77 / $590.47	Professional		$235.74	$336.77	$590.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $327.80 / $495.90	Professional		$278.70	$327.80	$495.90