Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,576.15 / $7,119.04	Facility		$1,300.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $144.46 / $306.20	Professional		$92.74	$144.46	$306.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $278.52 / $396.37	Professional		$195.74	$278.52	$396.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $191.04 / $351.80	Professional		$98.07	$191.04	$351.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.21 / $262.42 / $661.20	Facility		$145.21	$262.42	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $266.62 / $985.51	Professional		$144.83	$266.62	$985.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $242.26 / $352.73	Facility		$133.44	$242.26	$352.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $265.02 / $357.91	Professional		$198.00	$265.02	$357.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $173.45 / $262.31	Professional		$99.54	$173.45	$262.31
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 $138.62 / $201.63 / $410.23	Professional		$138.62	$201.63	$410.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $228.00 / $317.10	Professional		$193.80	$228.00	$317.10