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 $72.20 / $103.66 / $177.70	Professional		$72.20	$103.66	$177.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.48 / $210.36 / $313.58	Professional		$164.48	$210.36	$313.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $155.88 / $310.04	Professional		$70.50	$155.88	$310.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $222.26 / $2,142.52	Facility		$103.66	$222.26	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $246.00 / $941.99	Professional		$143.44	$246.00	$941.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $188.70 / $291.69	Facility		$83.79	$188.70	$291.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $212.00 / $296.64	Professional		$162.08	$212.00	$296.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $201.00 / $281.70	Professional		$3.00	$201.00	$281.70
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 $123.12 / $220.54 / $348.51	Professional		$123.12	$220.54	$348.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $167.60 / $244.00	Professional		$142.50	$167.60	$244.00