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 $111.44 / $132.90 / $204.18	Professional		$111.44	$132.90	$204.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $240.64 / $345.73	Professional		$116.21	$240.64	$345.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $54.98 / $419.74	Professional		$30.95	$54.98	$419.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $242.22 / $3,804.17	Facility		$144.07	$242.22	$3,804.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $235.73 / $898.24	Professional		$127.86	$235.73	$898.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $297.77 / $1,300.32	Facility		$200.00	$297.77	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $238.96 / $311.27	Professional		$140.97	$238.96	$311.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $222.30	Professional		$5.00	$5.00	$222.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $183.09 / $372.50	Professional		$125.87	$183.09	$372.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,170.23 / $1,481.30 / $1,481.30	Professional		$1,170.23	$1,481.30	$1,481.30