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 $54.92 / $80.18 / $146.86	Professional		$54.92	$80.18	$146.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $158.05 / $214.25	Professional		$63.75	$158.05	$214.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $102.07 / $200.14	Professional		$56.54	$102.07	$200.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $146.02 / $2,146.44	Facility		$76.88	$146.02	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $172.80 / $555.60	Professional		$89.18	$172.80	$555.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $138.93 / $200.41	Facility		$74.02	$138.93	$200.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $158.53 / $207.65	Professional		$115.94	$158.53	$207.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $161.50 / $197.10	Professional		$5.00	$161.50	$197.10
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 $81.20 / $138.97 / $241.93	Professional		$81.20	$138.97	$241.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $136.69 / $169.90	Professional		$114.08	$136.69	$169.90