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 $71.45 / $113.14 / $113.14	Professional		$71.45	$113.14	$113.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $200.43 / $295.07	Professional		$171.02	$200.43	$295.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $122.00 / $237.29	Professional		$71.59	$122.00	$237.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $222.26 / $5,582.51	Facility		$154.19	$222.26	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $188.37 / $655.54	Professional		$101.14	$188.37	$655.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $233.60 / $1,813.25	Facility		$146.00	$233.60	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $183.13 / $233.60	Professional		$134.00	$183.13	$233.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $142.50 / $193.10	Professional		$6.00	$142.50	$193.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $174.59 / $245.55	Professional		$90.40	$174.59	$245.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $150.80 / $177.40	Professional		$150.80	$150.80	$177.40