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 $137.38 / $234.27 / $234.27	Professional		$137.38	$234.27	$234.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $378.10 / $416.82	Professional		$333.45	$378.10	$416.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $237.81 / $514.55	Professional		$152.77	$237.81	$514.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.27 / $423.66 / $7,305.00	Facility		$234.27	$423.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $378.10 / $582.14	Professional		$185.46	$378.10	$582.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $271.61 / $385.53 / $491.19	Facility		$271.61	$385.53	$491.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $378.10 / $491.19	Professional		$271.61	$378.10	$491.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $258.10 / $313.83	Professional		$150.53	$258.10	$313.83
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 $177.73 / $352.83 / $511.56	Professional		$177.73	$352.83	$511.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $315.60 / $371.30	Professional		$249.32	$315.60	$371.30