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 $67.34 / $102.29 / $175.40	Professional		$67.34	$102.29	$175.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $198.67 / $362.80	Professional		$87.47	$198.67	$362.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $156.51 / $282.89	Professional		$64.62	$156.51	$282.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.60 / $202.31 / $1,055.95	Facility		$131.60	$202.31	$1,055.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $249.55 / $3,576.94	Professional		$123.74	$249.55	$3,576.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.60 / $213.86 / $293.08	Facility		$131.60	$213.86	$293.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $196.58 / $315.86	Professional		$131.60	$196.58	$315.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $155.00 / $264.39	Professional		$4.00	$155.00	$264.39
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 $113.43 / $192.83 / $335.69	Professional		$113.43	$192.83	$335.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $165.70 / $266.50	Professional		$135.40	$165.70	$266.50