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 $174.31 / $189.89 / $314.77	Professional		$174.31	$189.89	$314.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $430.85 / $575.55	Professional		$261.80	$430.85	$575.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $271.38 / $431.85	Professional		$107.21	$271.38	$431.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $430.85 / $3,396.00	Facility		$225.11	$430.85	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $430.85 / $1,409.04	Professional		$227.00	$430.85	$1,409.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.27 / $346.11 / $551.50	Facility		$261.27	$346.11	$551.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $346.11 / $527.29	Professional		$250.00	$346.11	$527.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $427.80 / $515.50	Professional		$5.00	$427.80	$515.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $346.90 / $603.89	Professional		$213.34	$346.90	$603.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $271.00 / $447.00	Professional		$230.40	$271.00	$447.00