Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $209.26 / $634.00	Professional		$102.55	$209.26	$634.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.93 / $310.67 / $505.62	Professional		$216.93	$310.67	$505.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $222.88 / $351.42	Professional		$100.19	$222.88	$351.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.55 / $276.33 / $1,151.00	Facility		$201.55	$276.33	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $311.55 / $1,384.32	Professional		$176.15	$311.55	$1,384.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $240.00 / $422.41	Facility		$170.56	$240.00	$422.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $273.45 / $473.56	Professional		$185.76	$273.45	$473.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $226.00 / $505.10	Professional		$3.00	$226.00	$505.10
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 $161.47 / $302.39 / $477.85	Professional		$161.47	$302.39	$477.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $246.20 / $410.20	Professional		$209.30	$246.20	$410.20