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 $110.73 / $157.13 / $346.15	Professional		$110.73	$157.13	$346.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $311.64 / $474.28	Professional		$248.18	$311.64	$474.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $247.05 / $412.37	Professional		$105.30	$247.05	$412.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $324.47 / $1,151.00	Facility		$171.11	$324.47	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $349.36 / $1,249.11	Professional		$193.14	$349.36	$1,249.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $262.06 / $428.49	Facility		$140.88	$262.06	$428.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.41 / $302.39 / $442.60	Professional		$223.41	$302.39	$442.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $267.30 / $437.40	Professional		$3.00	$267.30	$437.40
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 $173.52 / $310.83 / $491.19	Professional		$173.52	$310.83	$491.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $252.90 / $373.80	Professional		$215.00	$252.90	$373.80