Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $64.04 / $269.32	Professional		$47.30	$64.04	$269.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $111.41 / $139.26	Professional		$49.26	$111.41	$139.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $81.69 / $214.70	Professional		$46.20	$81.69	$214.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $121.86 / $1,204.00	Facility		$67.26	$121.86	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $103.37 / $478.82	Professional		$56.40	$103.37	$478.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $125.30 / $439.12	Facility		$94.41	$125.30	$439.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $109.89 / $155.37	Professional		$83.79	$109.89	$155.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $103.20 / $147.10	Professional		$61.80	$103.20	$147.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $3,560.25	Facility		$1,026.00	$1,607.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $80.29 / $152.30	Professional		$53.05	$80.29	$152.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $97.40 / $114.60	Professional		$76.95	$97.40	$114.60