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 $99.45 / $178.35 / $469.06	Professional		$99.45	$178.35	$469.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $250.45 / $374.94	Professional		$119.62	$250.45	$374.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $156.00 / $291.81	Professional		$93.19	$156.00	$291.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $300.88 / $1,607.00	Facility		$178.94	$300.88	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $267.00 / $762.88	Professional		$146.35	$267.00	$762.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.89 / $239.50 / $319.89	Facility		$124.89	$239.50	$319.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $265.16 / $343.48	Professional		$198.00	$265.16	$343.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $161.63 / $234.17	Professional		$92.57	$161.63	$234.17
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 $134.16 / $195.14 / $361.00	Professional		$134.16	$195.14	$361.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $227.00 / $287.00	Professional		$192.76	$227.00	$287.00