Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $148.91 / $576.88	Professional		$98.28	$148.91	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $244.53 / $300.25	Professional		$125.29	$244.53	$300.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $180.46 / $446.14	Professional		$104.12	$180.46	$446.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.12 / $248.08 / $2,250.75	Facility		$150.12	$248.08	$2,250.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $244.53 / $2,856.41	Professional		$127.28	$244.53	$2,856.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $248.08 / $347.27	Facility		$168.03	$248.08	$347.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $244.53 / $328.56	Professional		$168.03	$244.53	$328.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $202.90 / $277.50	Professional		$143.10	$202.90	$277.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $180.32 / $345.29	Professional		$116.68	$180.32	$345.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $215.60 / $253.70	Professional		$170.32	$215.60	$253.70