Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $142.11 / $182.78	Professional		$115.23	$142.11	$182.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $272.20 / $352.54	Professional		$211.05	$272.20	$352.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $195.23 / $379.66	Professional		$90.33	$195.23	$379.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.39 / $276.10 / $1,151.00	Facility		$167.39	$276.10	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $287.42 / $933.52	Professional		$164.83	$287.42	$933.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $233.01 / $328.35	Facility		$82.73	$233.01	$328.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $255.82 / $332.68	Professional		$187.95	$255.82	$332.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $233.80 / $317.30	Professional		$166.60	$233.80	$317.30
United Facility/Professional Facility Modifier Low / Median / High Price $319.33 / $730.98 / $1,966.00	Facility		$319.33	$730.98	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $274.17 / $386.63	Professional		$136.59	$274.17	$386.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $218.90 / $282.39	Professional		$186.10	$218.90	$282.39