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 $136.87 / $234.86 / $845.95	Professional		$136.87	$234.86	$845.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.55 / $403.18 / $433.79	Professional		$322.55	$403.18	$433.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $246.36 / $318.86	Professional		$147.57	$246.36	$318.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.75 / $418.25 / $1,966.00	Facility		$257.75	$418.25	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $364.52 / $640.17	Professional		$192.00	$364.52	$640.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $357.30 / $460.57	Facility		$241.25	$357.30	$460.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.25 / $342.07 / $460.57	Professional		$241.25	$342.07	$460.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $254.66 / $321.64	Professional		$160.15	$254.66	$321.64
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 $173.22 / $310.30 / $490.35	Professional		$173.22	$310.30	$490.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.74 / $313.60 / $368.90	Professional		$247.74	$313.60	$368.90