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 $63.11 / $100.31 / $199.16	Professional		$63.11	$100.31	$199.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $197.89 / $247.36	Professional		$116.44	$197.89	$247.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $121.76 / $227.93	Professional		$49.44	$121.76	$227.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.67 / $188.51 / $1,341.00	Facility		$119.67	$188.51	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $186.32 / $703.73	Professional		$104.21	$186.32	$703.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.44 / $162.00 / $232.94	Facility		$116.44	$162.00	$232.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $160.10 / $228.19	Professional		$107.33	$160.10	$228.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $157.90 / $219.90	Professional		$3.00	$157.90	$219.90
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 $90.17 / $163.40 / $254.84	Professional		$90.17	$163.40	$254.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $120.80 / $195.50	Professional		$102.70	$120.80	$195.50