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 $95.04 / $133.08 / $249.45	Professional		$95.04	$133.08	$249.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $298.11 / $478.52	Professional		$165.47	$298.11	$478.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $225.12 / $347.11	Professional		$80.43	$225.12	$347.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.63 / $276.37 / $2,195.54	Facility		$194.63	$276.37	$2,195.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $314.19 / $1,950.30	Professional		$165.47	$314.19	$1,950.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.47 / $226.18 / $386.47	Facility		$165.47	$226.18	$386.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $231.76 / $439.86	Professional		$165.47	$231.76	$439.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $224.20 / $459.10	Professional		$3.00	$224.20	$459.10
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 $161.49 / $295.20 / $457.14	Professional		$161.49	$295.20	$457.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $196.30 / $378.30	Professional		$166.90	$196.30	$378.30