Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $194.00 / $330.06	Professional		$129.28	$194.00	$330.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $315.14 / $389.55	Professional		$277.58	$315.14	$389.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $205.92 / $620.54	Professional		$133.37	$205.92	$620.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.72 / $322.64 / $1,623.00	Facility		$178.72	$322.64	$1,623.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $65.55 / $65.55 / $65.55	Facility	AS	$65.55	$65.55	$65.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $291.14 / $1,122.08	Professional		$152.50	$291.14	$1,122.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $258.88 / $315.14 / $432.16	Facility		$258.88	$315.14	$432.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $315.14 / $432.16	Professional		$221.83	$315.14	$432.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $233.98 / $282.74	Professional		$131.08	$233.98	$282.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $221.82 / $437.89	Professional		$145.57	$221.82	$437.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $277.89 / $326.89	Professional		$219.54	$277.89	$326.89