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 $74.03 / $143.63 / $226.05	Professional		$74.03	$143.63	$226.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $296.50 / $438.24	Professional		$112.19	$296.50	$438.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $179.30 / $290.99	Professional		$47.33	$179.30	$290.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $256.42 / $3,346.58	Facility		$120.36	$256.42	$3,346.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $317.08 / $1,140.40	Professional		$134.22	$317.08	$1,140.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.39 / $217.36 / $380.66	Facility		$121.39	$217.36	$380.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $231.00 / $414.36	Professional		$110.63	$231.00	$414.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $234.10 / $424.80	Professional		$4.00	$234.10	$424.80
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 $154.36 / $276.51 / $436.96	Professional		$154.36	$276.51	$436.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $114.80 / $340.50	Professional		$97.50	$114.80	$340.50