Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $2,601.00 / $6,446.00	Facility		$1,930.00	$2,601.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $146.13 / $331.77	Professional		$80.42	$146.13	$331.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $221.44 / $324.30	Professional		$169.06	$221.44	$324.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $171.51 / $380.69	Professional		$74.28	$171.51	$380.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $260.17 / $2,864.20	Facility		$144.13	$260.17	$2,864.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $260.17 / $856.96	Professional		$157.65	$260.17	$856.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.26 / $191.17 / $310.97	Facility		$99.26	$191.17	$310.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $230.63 / $315.86	Professional		$167.04	$230.63	$315.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $235.20 / $300.89	Professional		$4.00	$235.20	$300.89
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 $133.69 / $237.86 / $364.11	Professional		$133.69	$237.86	$364.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $179.50 / $263.30	Professional		$152.60	$179.50	$263.30