Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.72 / $3,489.13 / $6,446.00	Facility		$1,194.72	$3,489.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $126.00 / $245.87	Professional		$48.04	$126.00	$245.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $160.12 / $345.77	Professional		$72.37	$160.12	$345.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $157.28 / $320.79	Professional		$44.45	$157.28	$320.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $221.87 / $421.04	Facility		$93.94	$221.87	$421.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $302.83 / $1,042.93	Professional		$125.83	$302.83	$1,042.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.34 / $246.71 / $370.20	Facility		$103.34	$246.71	$370.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $244.30 / $355.79	Professional		$103.34	$244.30	$355.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $101.04 / $206.77	Professional		$46.74	$101.04	$206.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $259.58 / $422.51	Professional		$142.77	$259.58	$422.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $115.90 / $266.10	Professional		$94.70	$115.90	$266.10