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 $118.35 / $134.32 / $187.09	Professional		$118.35	$134.32	$187.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $287.83 / $362.28	Professional		$201.65	$287.83	$362.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $179.21 / $385.85	Professional		$83.82	$179.21	$385.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.31 / $315.93 / $1,970.00	Facility		$204.31	$315.93	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $295.43 / $951.28	Professional		$168.55	$295.43	$951.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.21 / $315.93 / $635.45	Facility		$198.21	$315.93	$635.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $260.00 / $338.68	Professional		$195.77	$260.00	$338.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $278.00 / $335.00	Professional		$6.00	$278.00	$335.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $251.48 / $397.41	Professional		$140.38	$251.48	$397.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $195.00 / $274.80	Professional		$165.80	$195.00	$274.80