Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $100.99 / $298.00	Professional		$58.86	$100.99	$298.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $127.58 / $191.15	Professional		$68.45	$127.58	$191.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $84.88 / $153.72	Professional		$45.20	$84.88	$153.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $125.02 / $1,341.00	Facility		$69.33	$125.02	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $122.19 / $338.80	Professional		$78.20	$122.19	$338.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $131.68 / $191.15	Facility		$98.26	$131.68	$191.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $130.72 / $187.61	Professional		$94.00	$130.72	$187.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $72.22 / $127.23	Professional		$39.65	$72.22	$127.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $98.40 / $184.27	Professional		$72.16	$98.40	$184.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $94.20 / $146.50	Professional		$80.00	$94.20	$146.50