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 $74.31 / $163.06 / $388.45	Professional		$74.31	$163.06	$388.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $346.68 / $471.36	Professional		$157.38	$346.68	$471.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $221.03 / $481.82	Professional		$63.93	$221.03	$481.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $318.00 / $4,006.00	Facility		$168.25	$318.00	$4,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $360.68 / $1,334.92	Professional		$174.76	$360.68	$1,334.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $223.47 / $419.11	Facility		$164.84	$223.47	$419.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $304.88 / $432.36	Professional		$150.66	$304.88	$432.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $337.80 / $434.30	Professional		$5.00	$337.80	$434.30
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 $178.85 / $311.45 / $485.17	Professional		$178.85	$311.45	$485.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $153.50 / $357.50	Professional		$130.50	$153.50	$357.50