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 $53.59 / $82.73 / $486.80	Professional		$53.59	$82.73	$486.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $139.26 / $233.73	Professional		$78.86	$139.26	$233.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $95.73 / $160.82	Professional		$45.54	$95.73	$160.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $128.71 / $1,607.00	Facility		$76.16	$128.71	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $146.30 / $370.96	Professional		$88.82	$146.30	$370.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $149.60 / $227.54	Facility		$107.71	$149.60	$227.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $149.38 / $205.82	Professional		$105.92	$149.38	$205.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $82.47 / $142.96	Professional		$43.35	$82.47	$142.96
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 $81.42 / $111.03 / $218.60	Professional		$81.42	$111.03	$218.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $103.20 / $168.80	Professional		$87.70	$103.20	$168.80