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 $159.99 / $217.78 / $906.26	Professional		$159.99	$217.78	$906.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $376.71 / $473.30	Professional		$153.33	$376.71	$473.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $229.42 / $1,026.15	Professional		$156.90	$229.42	$1,026.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $320.80 / $1,204.00	Facility		$201.00	$320.80	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $277.87 / $1,705.59	Professional		$160.65	$277.87	$1,705.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $277.87 / $376.71 / $473.94	Facility		$277.87	$376.71	$473.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $327.67 / $452.63	Professional		$202.43	$327.67	$452.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $211.10 / $424.40	Professional		$157.90	$211.10	$424.40
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 $154.52 / $253.67 / $550.50	Professional		$154.52	$253.67	$550.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.07 / $333.00 / $391.70	Professional		$263.07	$333.00	$391.70