Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.40 / $3,259.25 / $7,119.04	Facility		$2,171.40	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $100.30 / $176.29	Professional		$45.47	$100.30	$176.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $224.89 / $298.98	Professional		$107.52	$224.89	$298.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $135.13 / $266.62	Professional		$44.83	$135.13	$266.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $196.00 / $2,142.52	Facility		$100.67	$196.00	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $251.68 / $796.64	Professional		$123.90	$251.68	$796.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $149.13 / $289.38	Facility		$104.81	$149.13	$289.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $194.95 / $300.54	Professional		$104.81	$194.95	$300.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $221.60 / $287.39	Professional		$3.00	$221.60	$287.39
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 $123.90 / $221.94 / $350.73	Professional		$123.90	$221.94	$350.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $106.80 / $229.20	Professional		$90.80	$106.80	$229.20