Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $185.21 / $787.89	Professional		$77.81	$185.21	$787.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $144.13 / $348.65	Professional		$97.05	$144.13	$348.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $128.41 / $217.66	Professional		$51.19	$128.41	$217.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $185.21 / $1,341.00	Facility		$77.81	$185.21	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $179.49 / $458.30	Professional		$103.00	$179.49	$458.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $176.45 / $329.07	Facility		$111.58	$176.45	$329.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $173.00 / $302.14	Professional		$98.88	$173.00	$302.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $100.49 / $214.77	Professional		$45.47	$100.49	$214.77
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 $99.61 / $145.72 / $276.80	Professional		$99.61	$145.72	$276.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $107.40 / $250.40	Professional		$91.30	$107.40	$250.40