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 $209.11 / $338.44 / $338.44	Professional		$209.11	$338.44	$338.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.29 / $620.36 / $881.30	Professional		$496.29	$620.36	$881.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $424.43 / $759.15	Professional		$222.51	$424.43	$759.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $571.96 / $5,847.00	Facility		$435.00	$571.96	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $551.40 / $2,177.80	Professional		$303.95	$551.40	$2,177.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $364.60 / $544.99 / $702.94	Facility		$364.60	$544.99	$702.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $519.64 / $702.94	Professional		$398.00	$519.64	$702.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $467.30 / $587.60	Professional		$17.00	$467.30	$587.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $469.37 / $741.72	Professional		$262.02	$469.37	$741.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $517.60	Professional		$440.00	$440.00	$517.60