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 $103.75 / $173.78 / $238.85	Professional		$103.75	$173.78	$238.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $250.36 / $390.52	Professional		$177.48	$250.36	$390.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $189.06 / $451.94	Professional		$73.64	$189.06	$451.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $335.68 / $2,195.54	Facility		$186.20	$335.68	$2,195.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $303.27 / $1,832.00	Professional		$168.33	$303.27	$1,832.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $315.00 / $631.86	Facility		$186.20	$315.00	$631.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $248.87 / $374.85	Professional		$162.22	$248.87	$374.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $181.40 / $360.10	Professional		$4.00	$181.40	$360.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $265.98 / $407.95	Professional		$144.12	$265.98	$407.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $181.20 / $306.50	Professional		$154.00	$181.20	$306.50