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 $91.28 / $131.68 / $207.44	Professional		$91.28	$131.68	$207.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $235.47 / $379.81	Professional		$183.09	$235.47	$379.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $192.37 / $406.05	Professional		$125.81	$192.37	$406.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.97 / $249.28 / $1,640.00	Facility		$154.97	$249.28	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $322.50 / $620.67	Professional		$178.00	$322.50	$620.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $264.64 / $366.68	Facility		$200.50	$264.64	$366.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $266.83 / $387.95	Professional		$189.95	$266.83	$387.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $161.44 / $266.27	Professional		$90.45	$161.44	$266.27
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
United Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $312.39 / $472.31	Professional		$166.85	$312.39	$472.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $204.90 / $323.39	Professional		$174.20	$204.90	$323.39