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 $41.33 / $124.66 / $343.84	Professional		$41.33	$124.66	$343.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $210.82 / $610.62	Professional		$66.42	$210.82	$610.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $254.37 / $357.06	Professional		$40.75	$254.37	$357.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $300.00 / $605.16	Facility		$86.65	$300.00	$605.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $427.60 / $1,885.79	Professional		$171.09	$427.60	$1,885.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $274.00 / $519.48	Facility		$86.65	$274.00	$519.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $287.13 / $576.48	Professional		$86.65	$287.13	$576.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $277.80 / $416.30	Professional		$5.00	$277.80	$416.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $296.18 / $602.59	Professional		$201.48	$296.18	$602.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $103.60 / $467.30	Professional		$84.70	$103.60	$467.30