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 $48.47 / $118.25 / $201.87	Professional		$48.47	$118.25	$201.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $201.47 / $369.92	Professional		$77.63	$201.47	$369.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $170.57 / $400.28	Professional		$46.24	$170.57	$400.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $261.97 / $720.45	Facility		$95.12	$261.97	$720.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $287.60 / $3,402.52	Professional		$125.65	$287.60	$3,402.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $248.95 / $350.00	Facility		$95.12	$248.95	$350.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $211.12 / $400.12	Professional		$95.98	$211.12	$400.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $166.50 / $355.60	Professional		$5.00	$166.50	$355.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $231.65 / $359.09	Professional		$121.34	$231.65	$359.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $119.40 / $282.39	Professional		$97.50	$119.40	$282.39