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 $108.67 / $156.72 / $643.22	Professional		$108.67	$156.72	$643.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $257.88 / $322.35	Professional		$122.22	$257.88	$322.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $208.65 / $501.97	Professional		$115.61	$208.65	$501.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.01 / $286.27 / $1,204.00	Facility		$158.01	$286.27	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $242.00 / $1,743.04	Professional		$132.81	$242.00	$1,743.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.45 / $315.58 / $442.93	Facility		$217.45	$315.58	$442.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $270.02 / $365.44	Professional		$193.04	$270.02	$365.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $204.90 / $305.50	Professional		$155.30	$204.90	$305.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $2,126.00	Facility		$1,026.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $190.16 / $350.61	Professional		$128.79	$190.16	$350.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $247.50 / $291.20	Professional		$195.53	$247.50	$291.20