Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $179.38 / $327.76	Professional		$53.74	$179.38	$327.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $400.30 / $539.53	Professional		$109.07	$400.30	$539.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $216.59 / $573.94	Professional		$45.51	$216.59	$573.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.27 / $349.03 / $1,371.00	Facility		$106.27	$349.03	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $462.09 / $721.42	Professional		$132.11	$462.09	$721.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $350.53 / $592.02	Facility		$120.71	$350.53	$592.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $350.53 / $556.45	Professional		$106.27	$350.53	$556.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.50 / $272.50 / $532.40	Professional		$272.50	$272.50	$532.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $400.44 / $632.79	Professional		$223.55	$400.44	$632.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $101.80 / $383.60	Professional		$86.60	$101.80	$383.60