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 $63.84 / $135.06 / $300.00	Professional		$63.84	$135.06	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $225.32 / $383.58	Professional		$151.38	$225.32	$383.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $180.67 / $293.26	Professional		$62.90	$180.67	$293.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.52 / $239.06 / $4,452.04	Facility		$153.52	$239.06	$4,452.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $310.64 / $1,045.44	Professional		$152.00	$310.64	$1,045.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $206.00 / $377.84	Facility		$151.38	$206.00	$377.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $211.01 / $383.12	Professional		$151.38	$211.01	$383.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $277.00 / $385.40	Professional		$4.00	$277.00	$385.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $273.94 / $432.89	Professional		$150.02	$273.94	$432.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $150.80 / $301.60	Professional		$128.19	$150.80	$301.60