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 $76.33 / $139.66 / $241.76	Professional		$76.33	$139.66	$241.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $276.83 / $380.79	Professional		$168.12	$276.83	$380.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $172.90 / $424.58	Professional		$83.48	$172.90	$424.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $255.13 / $1,778.52	Facility		$127.61	$255.13	$1,778.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $272.80 / $584.88	Professional		$145.31	$272.80	$584.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.12 / $288.95 / $699.52	Facility		$168.12	$288.95	$699.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $251.84 / $359.74	Professional		$168.12	$251.84	$359.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $145.06 / $766.06	Professional		$76.59	$145.06	$766.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $219.29 / $411.34	Professional		$132.68	$219.29	$411.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $201.29 / $299.70	Professional		$148.19	$201.29	$299.70