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 $126.83 / $179.20 / $294.77	Professional		$126.83	$179.20	$294.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.19 / $339.88 / $522.97	Professional		$176.19	$339.88	$522.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $217.57 / $381.72	Professional		$118.86	$217.57	$381.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $308.48 / $1,204.00	Facility		$179.20	$308.48	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $311.99 / $883.84	Professional		$185.66	$311.99	$883.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.90 / $282.64 / $446.93	Facility		$171.90	$282.64	$446.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.23 / $322.41 / $474.65	Professional		$230.23	$322.41	$474.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $207.13 / $326.94	Professional		$108.05	$207.13	$326.94
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 $185.66 / $253.17 / $467.01	Professional		$185.66	$253.17	$467.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $249.70 / $377.30	Professional		$212.20	$249.70	$377.30