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 $102.88 / $161.34 / $372.47	Professional		$102.88	$161.34	$372.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $278.63 / $410.00	Professional		$133.16	$278.63	$410.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $195.78 / $376.65	Professional		$105.42	$195.78	$376.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.07 / $273.63 / $2,146.44	Facility		$155.07	$273.63	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $323.00 / $1,090.08	Professional		$167.89	$323.00	$1,090.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.07 / $255.09 / $391.32	Facility		$155.07	$255.09	$391.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $282.72 / $391.32	Professional		$215.20	$282.72	$391.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $289.50 / $391.50	Professional		$5.00	$289.50	$391.50
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 $153.90 / $237.12 / $455.45	Professional		$153.90	$237.12	$455.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $252.90 / $329.90	Professional		$215.00	$252.90	$329.90