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 $87.76 / $157.85 / $680.00	Professional		$87.76	$157.85	$680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $237.46 / $448.96	Professional		$140.06	$237.46	$448.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $164.43 / $278.67	Professional		$74.03	$164.43	$278.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $219.36 / $1,314.20	Facility		$113.45	$219.36	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $238.61 / $587.50	Professional		$140.06	$238.61	$587.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.29 / $206.23 / $383.59	Facility		$154.29	$206.23	$383.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $229.99 / $402.80	Professional		$141.28	$229.99	$402.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $145.13 / $280.39	Professional		$67.30	$145.13	$280.39
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 $138.35 / $224.58 / $418.96	Professional		$138.35	$224.58	$418.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $155.50 / $322.89	Professional		$132.19	$155.50	$322.89