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 $142.29 / $228.87 / $790.00	Professional		$142.29	$228.87	$790.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $318.45 / $519.08	Professional		$174.30	$318.45	$519.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $214.36 / $364.18	Professional		$110.96	$214.36	$364.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.28 / $301.80 / $1,341.00	Facility		$167.28	$301.80	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $294.08 / $826.80	Professional		$183.54	$294.08	$826.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.09 / $333.72 / $481.60	Facility		$243.09	$333.72	$481.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $307.48 / $469.75	Professional		$215.47	$307.48	$469.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $181.55 / $323.60	Professional		$100.65	$181.55	$323.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $250.28 / $461.67	Professional		$175.19	$250.28	$461.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $233.00 / $373.20	Professional		$198.00	$233.00	$373.20