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 $87.82 / $151.69 / $253.83	Professional		$87.82	$151.69	$253.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $246.39 / $403.53	Professional		$121.55	$246.39	$403.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $199.98 / $435.43	Professional		$87.52	$199.98	$435.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.53 / $247.98 / $501.72	Facility		$139.53	$247.98	$501.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $323.14 / $1,107.20	Professional		$166.19	$323.14	$1,107.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.33 / $317.20 / $400.35	Facility		$194.33	$317.20	$400.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $272.19 / $400.71	Professional		$182.50	$272.19	$400.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $160.56 / $283.39	Professional		$81.04	$160.56	$283.39
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 $152.34 / $246.27 / $450.83	Professional		$152.34	$246.27	$450.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $209.60 / $335.20	Professional		$171.30	$209.60	$335.20