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 $77.29 / $118.31 / $243.95	Professional		$77.29	$118.31	$243.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $231.78 / $355.46	Professional		$184.14	$231.78	$355.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $181.93 / $308.47	Professional		$78.02	$181.93	$308.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $242.38 / $1,151.00	Facility		$130.90	$242.38	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.81 / $260.83 / $933.76	Professional		$144.81	$260.83	$933.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $195.49 / $321.61	Facility		$108.34	$195.49	$321.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $225.78 / $329.67	Professional		$169.11	$225.78	$329.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $202.70 / $327.00	Professional		$3.00	$202.70	$327.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $242.05 / $368.27	Professional		$130.10	$242.05	$368.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $187.70 / $279.60	Professional		$159.50	$187.70	$279.60