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 $157.96 / $240.85 / $858.00	Professional		$157.96	$240.85	$858.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.95 / $341.73 / $560.95	Professional		$188.95	$341.73	$560.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $232.79 / $404.42	Professional		$122.65	$232.79	$404.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.04 / $330.27 / $1,341.00	Facility		$185.04	$330.27	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $322.39 / $914.72	Professional		$199.57	$322.39	$914.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $362.44 / $520.03	Facility		$268.56	$362.44	$520.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $238.36 / $341.10 / $508.00	Professional		$238.36	$341.10	$508.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $198.01 / $351.20	Professional		$110.93	$198.01	$351.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.60 / $272.14 / $544.29	Professional		$187.60	$272.14	$544.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $257.39 / $404.60	Professional		$218.80	$257.39	$404.60