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 $33.61 / $118.32 / $184.27	Professional		$33.61	$118.32	$184.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $219.06 / $297.02	Professional		$66.23	$219.06	$297.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $130.94 / $244.19	Professional		$27.09	$130.94	$244.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $199.82 / $1,387.80	Facility		$72.63	$199.82	$1,387.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $225.37 / $820.59	Professional		$72.94	$225.37	$820.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.94 / $156.00 / $274.44	Facility		$72.94	$156.00	$274.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $159.26 / $275.04	Professional		$66.23	$159.26	$275.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $229.90 / $277.00	Professional		$5.00	$229.90	$277.00
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 $107.10 / $218.36 / $335.97	Professional		$107.10	$218.36	$335.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $68.70 / $227.30	Professional		$58.40	$68.70	$227.30