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 $114.08 / $186.74 / $231.85	Professional		$114.08	$186.74	$231.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $242.34 / $533.24	Professional		$132.19	$242.34	$533.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $166.45 / $834.63	Professional		$88.40	$166.45	$834.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.77 / $366.58 / $1,607.00	Facility		$173.77	$366.58	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.92 / $467.45 / $859.12	Professional		$245.92	$467.45	$859.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.74 / $252.42 / $460.52	Facility		$139.74	$252.42	$460.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $257.01 / $533.24	Professional		$139.74	$257.01	$533.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $172.06 / $312.05	Professional		$91.84	$172.06	$312.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $467.45 / $800.54	Professional		$282.81	$467.45	$800.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $169.70 / $304.60	Professional		$144.19	$169.70	$304.60