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 $48.85 / $176.11 / $298.98	Professional		$48.85	$176.11	$298.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $366.08 / $493.75	Professional		$109.07	$366.08	$493.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $198.19 / $498.42	Professional		$45.21	$198.19	$498.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.53 / $295.49 / $1,371.00	Facility		$105.53	$295.49	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $387.46 / $634.90	Professional		$132.11	$387.46	$634.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $317.33 / $489.02	Facility		$119.60	$317.33	$489.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $317.33 / $470.84	Professional		$105.53	$317.33	$470.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $226.10 / $463.70	Professional		$226.10	$226.10	$463.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $333.02 / $530.09	Professional		$187.27	$333.02	$530.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $101.10 / $350.80	Professional		$86.00	$101.10	$350.80