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 $104.38 / $150.94 / $238.00	Professional		$104.38	$150.94	$238.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $301.75 / $464.54	Professional		$136.79	$301.75	$464.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $212.99 / $326.17	Professional		$66.26	$212.99	$326.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $279.07 / $1,204.00	Facility		$159.63	$279.07	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $301.75 / $1,206.40	Professional		$156.04	$301.75	$1,206.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.53 / $218.98 / $368.48	Facility		$148.53	$218.98	$368.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $217.06 / $418.02	Professional		$136.79	$217.06	$418.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $213.30 / $440.40	Professional		$3.00	$213.30	$440.40
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 $152.02 / $272.31 / $430.32	Professional		$152.02	$272.31	$430.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $161.60 / $362.40	Professional		$137.30	$161.60	$362.40