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 $88.23 / $210.85 / $506.04	Professional		$88.23	$210.85	$506.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $203.03 / $415.39	Professional		$120.04	$203.03	$415.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $187.99 / $323.06	Professional		$52.70	$187.99	$323.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $233.75 / $461.18	Facility		$99.16	$233.75	$461.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $270.06 / $637.71	Professional		$163.18	$270.06	$637.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.51 / $253.34 / $434.31	Facility		$148.51	$253.34	$434.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $271.16 / $434.31	Professional		$147.79	$271.16	$434.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $113.14 / $268.45	Professional		$48.78	$113.14	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $178.95 / $253.19 / $446.72	Professional		$178.95	$253.19	$446.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $101.90 / $266.30	Professional		$86.60	$101.90	$266.30