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 $96.94 / $169.42 / $275.67	Professional		$96.94	$169.42	$275.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $268.79 / $490.00	Professional		$175.48	$268.79	$490.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $212.31 / $364.18	Professional		$95.19	$212.31	$364.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.79 / $275.67 / $1,314.20	Facility		$144.79	$275.67	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $286.20 / $712.56	Professional		$182.54	$286.20	$712.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $245.49 / $447.04	Facility		$183.83	$245.49	$447.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $295.20 / $489.16	Professional		$201.20	$295.20	$489.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $177.71 / $327.14	Professional		$86.54	$177.71	$327.14
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 $152.80 / $226.94 / $428.77	Professional		$152.80	$226.94	$428.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $199.50 / $376.00	Professional		$169.60	$199.50	$376.00