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 $100.17 / $190.40 / $650.19	Professional		$100.17	$190.40	$650.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $295.44 / $523.39	Professional		$138.34	$295.44	$523.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $261.47 / $398.89	Professional		$107.11	$261.47	$398.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $296.82 / $624.60	Facility		$180.81	$296.82	$624.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $395.51 / $1,538.16	Professional		$202.46	$395.51	$1,538.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.43 / $270.67 / $509.40	Facility		$210.43	$270.67	$509.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $339.23 / $523.39	Professional		$213.01	$339.23	$523.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $237.57 / $398.24	Professional		$111.46	$237.57	$398.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $289.36 / $573.62	Professional		$195.48	$289.36	$573.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $263.80 / $468.10	Professional		$215.60	$263.80	$468.10