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 $41.31 / $99.22 / $312.00	Professional		$41.31	$99.22	$312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $105.18 / $285.83	Professional		$72.97	$105.18	$285.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $110.09 / $180.75	Professional		$37.57	$110.09	$180.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $149.83 / $1,341.00	Facility		$57.60	$149.83	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $152.91 / $394.74	Professional		$81.66	$152.91	$394.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $147.59 / $285.83	Facility		$83.88	$147.59	$285.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $133.91 / $259.95	Professional		$72.97	$133.91	$259.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $71.56 / $185.82	Professional		$34.84	$71.56	$185.82
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 $91.72 / $148.74 / $258.37	Professional		$91.72	$148.74	$258.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $77.40 / $216.20	Professional		$65.80	$77.40	$216.20