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 $98.65 / $153.07 / $305.38	Professional		$98.65	$153.07	$305.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $255.00 / $376.89	Professional		$197.24	$255.00	$376.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $191.26 / $323.95	Professional		$83.56	$191.26	$323.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $257.68 / $1,151.00	Facility		$137.91	$257.68	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $274.25 / $990.00	Professional		$152.33	$274.25	$990.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.21 / $208.00 / $338.48	Facility		$114.21	$208.00	$338.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $237.44 / $347.89	Professional		$177.76	$237.44	$347.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $211.60 / $344.50	Professional		$3.00	$211.60	$344.50
United Facility/Professional Facility Modifier Low / Median / High Price $399.42 / $914.26 / $1,966.00	Facility		$399.42	$914.26	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $245.16 / $387.41	Professional		$136.86	$245.16	$387.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $201.00 / $297.39	Professional		$170.90	$201.00	$297.39