Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $185.81 / $574.54	Professional		$105.75	$185.81	$574.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $288.12 / $476.80	Professional		$132.60	$288.12	$476.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $244.28 / $411.40	Professional		$108.45	$244.28	$411.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.42 / $293.00 / $3,044.00	Facility		$177.42	$293.00	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $379.52 / $1,400.56	Professional		$192.42	$379.52	$1,400.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.22 / $278.63 / $473.49	Facility		$206.22	$278.63	$473.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $314.79 / $476.80	Professional		$231.02	$314.79	$476.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $330.70 / $504.00	Professional		$5.00	$330.70	$504.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,878.97 / $7,305.00	Facility		$2,559.00	$4,878.97	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $268.81 / $543.96	Professional		$182.25	$268.81	$543.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $263.00 / $423.60	Professional		$215.00	$263.00	$423.60