Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.03 / $3,576.15 / $7,119.04	Facility		$1,879.03	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $153.82 / $325.94	Professional		$84.62	$153.82	$325.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $236.29 / $429.96	Professional		$107.98	$236.29	$429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $218.69 / $373.87	Professional		$89.78	$218.69	$373.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.25 / $251.24 / $1,775.00	Facility		$151.25	$251.24	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $330.21 / $1,250.24	Professional		$168.39	$330.21	$1,250.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $243.91 / $415.37	Facility		$196.85	$243.91	$415.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.95 / $263.29 / $415.37	Professional		$186.95	$263.29	$415.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $289.80 / $454.10	Professional		$5.00	$289.80	$454.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $235.45 / $470.92	Professional		$156.60	$235.45	$470.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $219.10 / $380.50	Professional		$179.00	$219.10	$380.50