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 $90.88 / $155.66 / $209.30	Professional		$90.88	$155.66	$209.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $234.19 / $341.73	Professional		$104.52	$234.19	$341.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $145.13 / $372.58	Professional		$84.68	$145.13	$372.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $312.35 / $4,808.59	Facility		$209.30	$312.35	$4,808.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $259.83 / $663.52	Professional		$137.02	$259.83	$663.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.83 / $312.35 / $2,308.21	Facility		$212.83	$312.35	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $259.83 / $331.14	Professional		$182.56	$259.83	$331.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $154.21 / $2,486.46	Professional		$80.65	$154.21	$2,486.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $182.69 / $362.22	Professional		$119.89	$182.69	$362.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $196.60 / $264.80	Professional		$167.10	$196.60	$264.80