Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $240.65 / $270.02	Professional		$154.01	$240.65	$270.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $386.57 / $464.54	Professional		$326.52	$386.57	$464.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $254.94 / $613.79	Professional		$158.94	$254.94	$613.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.65 / $406.70 / $1,607.00	Facility		$240.65	$406.70	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.71 / $340.29 / $3,201.00	Professional		$181.71	$340.29	$3,201.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.77 / $398.16 / $531.85	Facility		$308.77	$398.16	$531.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $375.55 / $514.80	Professional		$252.77	$375.55	$514.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.40 / $280.95 / $337.08	Professional		$157.40	$280.95	$337.08
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 $173.45 / $264.30 / $517.80	Professional		$173.45	$264.30	$517.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $331.10 / $389.60	Professional		$261.57	$331.10	$389.60