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 $76.98 / $155.50 / $357.00	Professional		$76.98	$155.50	$357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $201.05 / $206.46	Professional		$162.83	$201.05	$206.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $121.25 / $226.97	Professional		$69.88	$121.25	$226.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $184.19 / $5,847.00	Facility		$138.00	$184.19	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $179.10 / $1,995.00	Professional		$94.73	$179.10	$1,995.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.79 / $175.58 / $229.65	Facility		$117.79	$175.58	$229.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $163.76 / $229.65	Professional		$121.00	$163.76	$229.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $149.69 / $187.70	Professional		$60.40	$149.69	$187.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $157.08 / $240.92	Professional		$85.11	$157.08	$240.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $141.90 / $166.90	Professional		$141.90	$141.90	$166.90