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 $109.60 / $172.72 / $541.00	Professional		$109.60	$172.72	$541.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $298.88 / $428.76	Professional		$142.91	$298.88	$428.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $212.15 / $401.67	Professional		$112.98	$212.15	$401.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.99 / $290.92 / $1,775.00	Facility		$166.99	$290.92	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $345.71 / $1,184.00	Professional		$178.19	$345.71	$1,184.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $290.20 / $420.97	Facility		$170.18	$290.20	$420.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $228.08 / $303.26 / $428.76	Professional		$228.08	$303.26	$428.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $308.80 / $421.00	Professional		$5.00	$308.80	$421.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,562.00 / $3,522.00 / $5,454.00	Facility		$1,562.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $240.23 / $483.38	Professional		$163.34	$240.23	$483.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $270.30 / $358.60	Professional		$229.70	$270.30	$358.60