Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $116.53 / $201.25	Professional		$83.19	$116.53	$201.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $248.85 / $349.62	Professional		$159.31	$248.85	$349.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $160.81 / $270.30	Professional		$73.48	$160.81	$270.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $235.80 / $8,470.17	Facility		$139.57	$235.80	$8,470.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $233.06 / $927.68	Professional		$128.87	$233.06	$927.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.09 / $248.85 / $4,164.35	Facility		$153.09	$248.85	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $209.37 / $325.13	Professional		$151.00	$209.37	$325.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.90 / $334.40	Professional		$3.00	$168.90	$334.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $207.04 / $339.98	Professional		$115.09	$207.04	$339.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $175.80 / $275.20	Professional		$149.40	$175.80	$275.20