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 $73.58 / $116.55 / $116.55	Professional		$73.58	$116.55	$116.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $206.57 / $352.77	Professional		$174.52	$206.57	$352.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $150.00 / $283.70	Professional		$73.08	$150.00	$283.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $204.64 / $5,847.00	Facility		$167.00	$204.64	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $187.21 / $617.51	Professional		$105.47	$187.21	$617.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.67 / $187.21 / $241.95	Facility		$122.67	$187.21	$241.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $187.21 / $241.95	Professional		$138.63	$187.21	$241.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $174.80 / $194.40	Professional		$6.00	$174.80	$194.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $179.86 / $255.70	Professional		$92.70	$179.86	$255.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $143.60 / $168.90	Professional		$143.60	$143.60	$168.90