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 $106.70 / $140.12 / $286.56	Professional		$106.70	$140.12	$286.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.45 / $330.14 / $455.18	Professional		$223.45	$330.14	$455.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $193.29 / $309.66	Professional		$104.42	$193.29	$309.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $285.33 / $7,131.46	Facility		$166.57	$285.33	$7,131.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $285.55 / $1,581.00	Professional		$159.91	$285.55	$1,581.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.24 / $245.73 / $380.46	Facility		$181.24	$245.73	$380.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $282.02 / $412.84	Professional		$192.14	$282.02	$412.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $211.00 / $455.20	Professional		$3.00	$211.00	$455.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $274.54 / $433.83	Professional		$147.00	$274.54	$433.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $258.89 / $370.10	Professional		$220.00	$258.89	$370.10