Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $117.03 / $198.94	Professional		$56.12	$117.03	$198.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $209.15 / $315.54	Professional		$112.82	$209.15	$315.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $143.61 / $783.12	Professional		$55.98	$143.61	$783.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $175.32 / $452.41	Facility		$90.60	$175.32	$452.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $223.72 / $459.34	Professional		$116.72	$223.72	$459.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $235.68 / $296.64	Facility		$112.82	$235.68	$296.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $209.15 / $320.00	Professional		$112.82	$209.15	$320.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $98.41 / $206.86	Professional		$50.97	$98.41	$206.86
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 $108.68 / $169.78 / $337.61	Professional		$108.68	$169.78	$337.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $165.27 / $246.10	Professional		$99.50	$165.27	$246.10