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 $47.52 / $159.56 / $340.92	Professional		$47.52	$159.56	$340.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $239.58 / $586.27	Professional		$97.71	$239.58	$586.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $269.33 / $451.52	Professional		$50.57	$269.33	$451.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $296.69 / $576.15	Facility		$80.89	$296.69	$576.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $372.33 / $1,289.70	Professional		$167.21	$372.33	$1,289.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $391.13 / $515.76	Facility		$97.71	$391.13	$515.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $308.75 / $571.66	Professional		$98.15	$308.75	$571.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $103.45 / $369.82	Professional		$47.88	$103.45	$369.82
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 $194.55 / $301.63 / $558.29	Professional		$194.55	$301.63	$558.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $116.30 / $462.80	Professional		$98.80	$116.30	$462.80