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 $62.71 / $93.81 / $166.60	Professional		$62.71	$93.81	$166.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $157.38 / $196.72	Professional		$124.45	$157.38	$196.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $101.20 / $202.10	Professional		$53.14	$101.20	$202.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $171.07 / $1,204.00	Facility		$124.93	$171.07	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $159.47 / $1,520.20	Professional		$96.66	$159.47	$1,520.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $172.07 / $261.39	Facility		$124.45	$172.07	$261.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $148.30 / $182.55	Professional		$109.40	$148.30	$182.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $121.10 / $170.50	Professional		$3.00	$121.10	$170.50
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 $79.56 / $130.40 / $215.83	Professional		$79.56	$130.40	$215.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $126.80 / $155.80	Professional		$107.80	$126.80	$155.80