Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.73 / $3,259.25 / $7,119.04	Facility		$1,736.73	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $158.10 / $568.54	Professional		$76.67	$158.10	$568.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $318.77 / $413.90	Professional		$149.19	$318.77	$413.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $205.83 / $343.09	Professional		$63.54	$205.83	$343.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.26 / $327.41 / $4,663.00	Facility		$156.26	$327.41	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.03 / $321.97 / $1,090.24	Professional		$154.03	$321.97	$1,090.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.03 / $338.83 / $1,331.66	Facility		$157.03	$338.83	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $231.00 / $408.34	Professional		$149.19	$231.00	$408.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $153.61 / $1,421.20	Professional		$71.12	$153.61	$1,421.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $346.21 / $465.70	Professional		$164.52	$346.21	$465.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $143.00 / $305.50	Professional		$121.50	$143.00	$305.50