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 $105.54 / $142.44 / $605.00	Professional		$105.54	$142.44	$605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $263.45 / $323.06	Professional		$124.71	$263.45	$323.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $150.00 / $288.08	Professional		$98.81	$150.00	$288.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $296.51 / $4,645.00	Facility		$184.00	$296.51	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $263.45 / $823.20	Professional		$137.78	$263.45	$823.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $238.73 / $323.06	Facility		$112.08	$238.73	$323.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $263.45 / $364.33	Professional		$184.00	$263.45	$364.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $159.15 / $218.25	Professional		$99.39	$159.15	$218.25
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 $120.56 / $183.71 / $344.46	Professional		$120.56	$183.71	$344.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $228.20 / $268.50	Professional		$180.28	$228.20	$268.50