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 $114.21 / $204.75 / $204.75	Professional		$114.21	$204.75	$204.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $309.16 / $348.65	Professional		$272.93	$309.16	$348.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $217.63 / $361.09	Professional		$115.98	$217.63	$361.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $359.74 / $4,415.41	Facility		$204.75	$359.74	$4,415.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $309.16 / $1,939.05	Professional		$162.78	$309.16	$1,939.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $379.61 / $1,331.66	Facility		$222.00	$379.61	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.21 / $295.07 / $382.33	Professional		$205.21	$295.07	$382.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $243.00 / $370.00	Professional		$3.00	$243.00	$370.00
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 $146.33 / $251.20 / $396.95	Professional		$146.33	$251.20	$396.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $236.40 / $278.10	Professional		$236.40	$236.40	$278.10