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 $75.16 / $115.95 / $115.95	Professional		$75.16	$115.95	$115.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $212.58 / $370.75	Professional		$181.53	$212.58	$370.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $150.00 / $277.93	Professional		$74.55	$150.00	$277.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $245.56 / $1,623.00	Facility		$186.01	$245.56	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $200.51 / $703.28	Professional		$117.21	$200.51	$703.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $245.56 / $316.95	Facility		$175.41	$245.56	$316.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $198.86 / $245.56	Professional		$148.07	$198.86	$245.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $195.20 / $235.20	Professional		$5.00	$195.20	$235.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $172.84 / $267.98	Professional		$94.67	$172.84	$267.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $154.69 / $182.00	Professional		$154.69	$154.69	$182.00