Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $177.66 / $582.05	Professional		$105.69	$177.66	$582.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $282.20 / $425.00	Professional		$125.75	$282.20	$425.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $199.29 / $368.31	Professional		$105.21	$199.29	$368.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.40 / $275.37 / $794.08	Facility		$153.40	$275.37	$794.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $334.83 / $1,083.52	Professional		$180.24	$334.83	$1,083.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.07 / $259.35 / $407.13	Facility		$155.07	$259.35	$407.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $289.39 / $420.67	Professional		$220.00	$289.39	$420.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $312.89 / $404.00	Professional		$5.00	$312.89	$404.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $255.79 / $490.02	Professional		$163.85	$255.79	$490.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $245.40 / $336.00	Professional		$208.60	$245.40	$336.00