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 $88.22 / $168.60 / $711.00	Professional		$88.22	$168.60	$711.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $200.62 / $438.24	Professional		$147.07	$200.62	$438.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $175.93 / $298.14	Professional		$70.95	$175.93	$298.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $231.37 / $1,341.00	Facility		$107.48	$231.37	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $233.28 / $574.09	Professional		$152.27	$233.28	$574.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.31 / $235.84 / $410.74	Facility		$170.31	$235.84	$410.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $235.84 / $409.81	Professional		$153.66	$235.84	$409.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $135.99 / $274.33	Professional		$63.76	$135.99	$274.33
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 $143.88 / $218.70 / $403.43	Professional		$143.88	$218.70	$403.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $149.30 / $315.30	Professional		$126.90	$149.30	$315.30