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 $74.31 / $138.13 / $683.00	Professional		$74.31	$138.13	$683.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $192.83 / $416.82	Professional		$140.16	$192.83	$416.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $171.75 / $305.14	Professional		$69.33	$171.75	$305.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $224.43 / $1,341.00	Facility		$107.53	$224.43	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $233.36 / $550.40	Professional		$149.91	$233.36	$550.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $229.81 / $400.82	Facility		$174.12	$229.81	$400.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $229.34 / $400.82	Professional		$149.91	$229.34	$400.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $130.44 / $260.11	Professional		$63.69	$130.44	$260.11
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 $126.80 / $191.69 / $357.33	Professional		$126.80	$191.69	$357.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $143.69 / $299.89	Professional		$122.10	$143.69	$299.89