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 $107.15 / $166.89 / $166.89	Professional		$107.15	$166.89	$166.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $314.66 / $425.00	Professional		$256.32	$314.66	$425.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $203.53 / $380.69	Professional		$106.85	$203.53	$380.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.82 / $314.66 / $1,623.00	Facility		$251.82	$314.66	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $282.20 / $1,131.01	Professional		$152.94	$282.20	$1,131.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $282.30 / $359.77	Facility		$213.15	$282.30	$359.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.05 / $277.08 / $356.27	Professional		$209.05	$277.08	$356.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $244.50 / $294.70	Professional		$5.00	$244.50	$294.70
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 $128.27 / $240.22 / $379.60	Professional		$128.27	$240.22	$379.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $261.20	Professional		$222.00	$222.00	$261.20