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 $59.45 / $160.96 / $751.51	Professional		$59.45	$160.96	$751.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $241.70 / $461.62	Professional		$152.69	$241.70	$461.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $216.26 / $441.09	Professional		$61.91	$216.26	$441.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $294.54 / $4,006.00	Facility		$146.30	$294.54	$4,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $374.00 / $6,897.85	Professional		$178.85	$374.00	$6,897.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.80 / $218.38 / $417.00	Facility		$159.80	$218.38	$417.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $291.00 / $418.72	Professional		$146.30	$291.00	$418.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $334.30 / $417.50	Professional		$5.00	$334.30	$417.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $323.48 / $511.18	Professional		$180.58	$323.48	$511.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $149.10 / $350.10	Professional		$126.70	$149.10	$350.10