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 $102.95 / $116.60 / $193.48	Professional		$102.95	$116.60	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.29 / $258.19 / $311.64	Professional		$223.29	$258.19	$311.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $170.27 / $387.58	Professional		$106.67	$170.27	$387.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $271.95 / $1,607.00	Facility		$160.91	$271.95	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $230.59 / $2,987.00	Professional		$122.34	$230.59	$2,987.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.14 / $265.93 / $354.56	Facility		$206.14	$265.93	$354.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $251.10 / $343.76	Professional		$176.79	$251.10	$343.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $188.55 / $224.93	Professional		$105.63	$188.55	$224.93
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 $116.22 / $177.07 / $350.02	Professional		$116.22	$177.07	$350.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $221.40 / $260.50	Professional		$174.91	$221.40	$260.50