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 $91.14 / $144.53 / $144.53	Professional		$91.14	$144.53	$144.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.07 / $252.31 / $347.65	Professional		$218.07	$252.31	$347.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $166.28 / $279.58	Professional		$100.25	$166.28	$279.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $252.31 / $3,482.00	Facility		$145.19	$252.31	$3,482.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $234.09 / $813.45	Professional		$123.75	$234.09	$813.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $302.48 / $707.92	Facility		$185.38	$302.48	$707.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $218.07 / $302.48	Professional		$169.83	$218.07	$302.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $201.30 / $268.80	Professional		$5.00	$201.30	$268.80
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 $115.93 / $218.94 / $335.52	Professional		$115.93	$218.94	$335.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $211.80 / $249.10	Professional		$211.80	$211.80	$249.10