Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,795.64 / $7,119.04	Facility		$1,300.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $218.27 / $522.85	Professional		$88.19	$218.27	$522.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $247.41 / $402.33	Professional		$119.19	$247.41	$402.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $199.56 / $361.36	Professional		$105.49	$199.56	$361.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.87 / $244.35 / $1,065.07	Facility		$105.87	$244.35	$1,065.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $303.58 / $1,112.48	Professional		$161.58	$303.58	$1,112.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.42 / $290.33 / $403.58	Facility		$209.42	$290.33	$403.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $271.57 / $402.33	Professional		$209.42	$271.57	$402.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $164.56 / $286.76	Professional		$90.64	$164.56	$286.76
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 $149.88 / $231.64 / $443.57	Professional		$149.88	$231.64	$443.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $220.60 / $336.70	Professional		$180.30	$220.60	$336.70