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 $95.97 / $152.44 / $152.44	Professional		$95.97	$152.44	$152.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.58 / $265.62 / $341.23	Professional		$217.58	$265.62	$341.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $174.86 / $274.43	Professional		$105.47	$174.86	$274.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $304.57 / $3,482.00	Facility		$189.09	$304.57	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $245.82 / $803.12	Professional		$128.15	$245.82	$803.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $314.27 / $707.92	Facility		$191.00	$314.27	$707.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $223.91 / $314.27	Professional		$175.00	$223.91	$314.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $211.40 / $282.10	Professional		$5.00	$211.40	$282.10
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 $116.82 / $214.87 / $330.67	Professional		$116.82	$214.87	$330.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.70 / $222.70 / $262.00	Professional		$222.70	$222.70	$262.00