Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $345.92 / $432.40	Professional		$105.37	$345.92	$432.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $62.62 / $295.08	Professional		$41.18	$62.62	$295.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.19 / $842.36 / $1,914.00	Facility		$86.19	$842.36	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $278.02 / $346.38	Professional		$77.17	$278.02	$346.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $280.10 / $453.06	Facility		$105.69	$280.10	$453.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $280.10 / $362.05	Professional		$77.17	$280.10	$362.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $230.71 / $244.74	Professional		$217.16	$230.71	$244.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $78.70 / $92.60	Professional		$62.17	$78.70	$92.60