Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.94 / $3,259.25 / $7,119.04	Facility		$1,792.94	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $94.19 / $209.10	Professional		$65.15	$94.19	$209.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $179.19 / $292.16	Professional		$143.35	$179.19	$292.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $146.85 / $249.67	Professional		$60.89	$146.85	$249.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $193.29 / $2,651.52	Facility		$110.47	$193.29	$2,651.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $210.04 / $770.16	Professional		$116.77	$210.04	$770.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $154.00 / $258.79	Facility		$90.73	$154.00	$258.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $175.85 / $272.30	Professional		$134.83	$175.85	$272.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $160.60 / $271.70	Professional		$3.00	$160.60	$271.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $210.62 / $296.98	Professional		$104.91	$210.62	$296.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $146.10 / $229.90	Professional		$124.20	$146.10	$229.90