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 $58.17 / $115.00 / $280.31	Professional		$58.17	$115.00	$280.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $238.73 / $317.48	Professional		$133.18	$238.73	$317.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $147.33 / $225.42	Professional		$55.16	$147.33	$225.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $205.79 / $1,387.80	Facility		$120.44	$205.79	$1,387.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $246.95 / $856.84	Professional		$128.15	$246.95	$856.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $167.00 / $298.14	Facility		$123.94	$167.00	$298.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $180.41 / $301.45	Professional		$132.00	$180.41	$301.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $223.10 / $298.80	Professional		$5.00	$223.10	$298.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $215.87 / $341.12	Professional		$116.39	$215.87	$341.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $132.69 / $237.80	Professional		$112.80	$132.69	$237.80