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 $107.52 / $170.36 / $170.36	Professional		$107.52	$170.36	$170.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $300.67 / $325.27	Professional		$250.36	$300.67	$325.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $177.81 / $340.45	Professional		$106.11	$177.81	$340.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.36 / $308.48 / $3,522.00	Facility		$170.36	$308.48	$3,522.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $276.58 / $858.56	Professional		$151.66	$276.58	$858.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $352.48 / $641.19	Facility		$209.00	$352.48	$641.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $250.36 / $352.48	Professional		$184.26	$250.36	$352.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $213.50 / $287.80	Professional		$154.30	$213.50	$287.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $235.27 / $371.79	Professional		$131.34	$235.27	$371.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $220.80 / $259.70	Professional		$220.80	$220.80	$259.70