Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $137.94 / $264.04	Professional		$58.81	$137.94	$264.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $215.72 / $453.50	Professional		$91.63	$215.72	$453.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $207.63 / $302.99	Professional		$57.03	$207.63	$302.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $284.88 / $610.19	Facility		$127.20	$284.88	$610.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $353.27 / $2,965.50	Professional		$160.58	$353.27	$2,965.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.76 / $271.00 / $424.12	Facility		$139.76	$271.00	$424.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $268.63 / $424.12	Professional		$139.76	$268.63	$424.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $199.30 / $376.60	Professional		$5.00	$199.30	$376.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $245.42 / $475.21	Professional		$158.43	$245.42	$475.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $143.69 / $340.50	Professional		$117.40	$143.69	$340.50