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 $62.77 / $99.72 / $99.72	Professional		$62.77	$99.72	$99.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $176.82 / $255.00	Professional		$151.38	$176.82	$255.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $109.61 / $293.37	Professional		$63.68	$109.61	$293.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $189.12 / $6,156.84	Facility		$128.34	$189.12	$6,156.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $172.73 / $1,301.89	Professional		$84.44	$172.73	$1,301.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $205.43 / $1,813.25	Facility		$115.00	$205.43	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $151.38 / $336.00	Professional		$110.42	$151.38	$336.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $143.90 / $221.60	Professional		$3.00	$143.90	$221.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $151.34 / $213.32	Professional		$75.36	$151.34	$213.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $133.50 / $157.00	Professional		$133.50	$133.50	$157.00