Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.82 / $3,576.15 / $6,446.00	Facility		$1,897.82	$3,576.15	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $125.09 / $385.66	Professional		$75.05	$125.09	$385.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $146.08 / $282.42	Professional		$116.87	$146.08	$282.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $136.22 / $308.50	Professional		$48.26	$136.22	$308.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.11 / $212.26 / $1,151.00	Facility		$117.11	$212.26	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $217.34 / $725.28	Professional		$117.11	$217.34	$725.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $138.33 / $241.99	Facility		$101.94	$138.33	$241.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $180.54 / $260.62	Professional		$111.33	$180.54	$260.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $166.40 / $256.30	Professional		$4.00	$166.40	$256.30
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 $107.77 / $197.03 / $301.14	Professional		$107.77	$197.03	$301.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $118.50 / $221.20	Professional		$100.80	$118.50	$221.20