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 $68.97 / $95.32 / $191.81	Professional		$68.97	$95.32	$191.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $188.59 / $252.23	Professional		$139.01	$188.59	$252.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $126.96 / $240.19	Professional		$59.18	$126.96	$240.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $193.30 / $1,204.00	Facility		$113.68	$193.30	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $194.33 / $1,950.30	Professional		$112.31	$194.33	$1,950.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.38 / $155.94 / $222.08	Facility		$69.38	$155.94	$222.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $166.38 / $237.80	Professional		$127.88	$166.38	$237.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $159.90 / $226.90	Professional		$3.00	$159.90	$226.90
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 $97.61 / $191.15 / $264.79	Professional		$97.61	$191.15	$264.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.60 / $144.19 / $201.60	Professional		$122.60	$144.19	$201.60