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 $47.53 / $73.53 / $136.81	Professional		$47.53	$73.53	$136.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $135.66 / $201.59	Professional		$104.09	$135.66	$201.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $93.38 / $429.97	Professional		$51.42	$93.38	$429.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $128.53 / $1,026.00	Facility		$70.64	$128.53	$1,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $153.56 / $363.52	Professional		$81.87	$153.56	$363.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $153.56 / $194.13	Facility		$104.09	$153.56	$194.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $153.38 / $198.54	Professional		$104.09	$153.38	$198.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $83.06 / $133.55	Professional		$46.65	$83.06	$133.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $124.94 / $231.74	Professional		$74.45	$124.94	$231.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $108.00 / $159.30	Professional		$91.80	$108.00	$159.30