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 $76.78 / $103.79 / $174.93	Professional		$76.78	$103.79	$174.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $222.03 / $321.97	Professional		$92.78	$222.03	$321.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $150.10 / $262.64	Professional		$73.88	$150.10	$262.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $215.35 / $372.20	Facility		$131.38	$215.35	$372.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $213.70 / $903.00	Professional		$110.20	$213.70	$903.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $222.62 / $287.24	Facility		$168.00	$222.62	$287.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $199.45 / $279.83	Professional		$147.53	$199.45	$279.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $140.50 / $260.20	Professional		$3.00	$140.50	$260.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $163.66 / $309.02	Professional		$103.58	$163.66	$309.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $178.70 / $239.60	Professional		$151.90	$178.70	$239.60