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 $111.41 / $174.72 / $400.08	Professional		$111.41	$174.72	$400.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $303.07 / $378.84	Professional		$219.59	$303.07	$378.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $191.46 / $439.19	Professional		$130.94	$191.46	$439.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $274.02 / $1,341.00	Facility		$143.62	$274.02	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $243.06 / $818.96	Professional		$132.40	$243.06	$818.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $245.63 / $361.50	Facility		$201.84	$245.63	$361.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $274.02 / $367.63	Professional		$178.18	$274.02	$367.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $235.35 / $268.58	Professional		$127.64	$235.35	$268.58
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 $126.38 / $196.47 / $391.81	Professional		$126.38	$196.47	$391.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $258.60 / $304.30	Professional		$204.29	$258.60	$304.30