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 $129.10 / $197.28 / $748.00	Professional		$129.10	$197.28	$748.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $302.35 / $471.36	Professional		$153.56	$302.35	$471.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $197.37 / $406.48	Professional		$118.78	$197.37	$406.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.37 / $377.67 / $4,663.00	Facility		$233.37	$377.67	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $341.96 / $979.76	Professional		$186.05	$341.96	$979.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $306.33 / $404.97	Facility		$149.97	$306.33	$404.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $334.08 / $476.69	Professional		$252.00	$334.08	$476.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $199.67 / $295.45	Professional		$118.78	$199.67	$295.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $248.06 / $460.66	Professional		$168.41	$248.06	$460.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.08 / $290.70 / $361.90	Professional		$243.08	$290.70	$361.90