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 $91.64 / $124.37 / $537.19	Professional		$91.64	$124.37	$537.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $217.37 / $271.70	Professional		$97.27	$217.37	$271.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $145.47 / $439.99	Professional		$92.95	$145.47	$439.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $208.87 / $1,331.26	Facility		$130.35	$208.87	$1,331.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $199.05 / $729.92	Professional		$109.81	$199.05	$729.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.93 / $208.87 / $298.24	Facility		$182.93	$208.87	$298.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $227.33 / $298.24	Professional		$165.29	$227.33	$298.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $121.40 / $241.40	Professional		$121.40	$121.40	$241.40
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 $105.74 / $159.72 / $298.74	Professional		$105.74	$159.72	$298.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $191.50 / $225.30	Professional		$151.29	$191.50	$225.30