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 $129.94 / $238.59 / $743.17	Professional		$129.94	$238.59	$743.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $338.88 / $547.32	Professional		$184.38	$338.88	$547.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $227.34 / $396.16	Professional		$121.62	$227.34	$396.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.44 / $324.91 / $1,341.00	Facility		$183.44	$324.91	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $321.86 / $906.96	Professional		$194.82	$321.86	$906.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.38 / $354.28 / $508.01	Facility		$266.38	$354.28	$508.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $334.87 / $496.34	Professional		$236.32	$334.87	$496.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $196.21 / $342.04	Professional		$109.92	$196.21	$342.04
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 $185.97 / $251.72 / $455.24	Professional		$185.97	$251.72	$455.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $255.30 / $394.80	Professional		$217.00	$255.30	$394.80