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 $56.92 / $67.87 / $107.27	Professional		$56.92	$67.87	$107.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $128.22 / $210.36	Professional		$85.70	$128.22	$210.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $95.95 / $169.18	Professional		$36.13	$95.95	$169.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $128.22 / $1,151.00	Facility		$81.96	$128.22	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $156.47 / $549.60	Professional		$80.77	$156.47	$549.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $100.53 / $182.83	Facility		$70.45	$100.53	$182.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $118.36 / $196.97	Professional		$79.61	$118.36	$196.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $111.60 / $193.70	Professional		$4.00	$111.60	$193.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $137.69 / $211.20	Professional		$74.61	$137.69	$211.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $87.60 / $166.10	Professional		$74.40	$87.60	$166.10