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 $61.19 / $139.11 / $327.97	Professional		$61.19	$139.11	$327.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $181.14 / $458.78	Professional		$105.35	$181.14	$458.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $214.88 / $468.38	Professional		$62.68	$214.88	$468.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $230.00 / $1,770.00	Facility		$116.94	$230.00	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $303.11 / $1,242.08	Professional		$151.02	$303.11	$1,242.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $230.00 / $398.27	Facility		$139.31	$230.00	$398.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $250.85 / $456.25	Professional		$123.30	$250.85	$456.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $169.10 / $310.92	Professional		$65.04	$169.10	$310.92
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 $146.06 / $221.68 / $451.02	Professional		$146.06	$221.68	$451.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $153.10 / $373.70	Professional		$125.10	$153.10	$373.70