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 $131.41 / $169.39 / $600.57	Professional		$131.41	$169.39	$600.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $303.85 / $484.99	Professional		$163.15	$303.85	$484.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $200.99 / $343.55	Professional		$105.80	$200.99	$343.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $281.02 / $1,204.00	Facility		$159.60	$281.02	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $281.02 / $786.80	Professional		$170.62	$281.02	$786.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $251.02 / $413.06	Facility		$171.35	$251.02	$413.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $290.05 / $436.00	Professional		$205.06	$290.05	$436.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $184.37 / $302.45	Professional		$96.19	$184.37	$302.45
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 $160.00 / $232.67 / $427.98	Professional		$160.00	$232.67	$427.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $222.50 / $349.40	Professional		$189.10	$222.50	$349.40