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 $79.47 / $171.66 / $430.32	Professional		$79.47	$171.66	$430.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $224.97 / $517.63	Professional		$102.52	$224.97	$517.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $250.37 / $447.53	Professional		$75.81	$250.37	$447.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.87 / $273.73 / $1,735.52	Facility		$146.87	$273.73	$1,735.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.16 / $410.54 / $956.58	Professional		$200.16	$410.54	$956.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.36 / $252.86 / $497.28	Facility		$190.36	$252.86	$497.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.31 / $351.35 / $530.04	Professional		$178.31	$351.35	$530.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $181.81 / $352.29	Professional		$74.62	$181.81	$352.29
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 $199.57 / $291.77 / $590.61	Professional		$199.57	$291.77	$590.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $192.40 / $435.60	Professional		$157.19	$192.40	$435.60