Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $151.50 / $589.38	Professional		$99.00	$151.50	$589.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $245.27 / $347.42	Professional		$138.19	$245.27	$347.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $166.08 / $400.28	Professional		$105.02	$166.08	$400.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $248.85 / $2,126.00	Facility		$166.23	$248.85	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $248.47 / $808.00	Professional		$130.61	$248.47	$808.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.11 / $248.85 / $352.48	Facility		$173.11	$248.85	$352.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $245.27 / $352.48	Professional		$173.11	$245.27	$352.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $221.30 / $279.70	Professional		$141.10	$221.30	$279.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $204.03 / $354.31	Professional		$119.72	$204.03	$354.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $216.30 / $254.40	Professional		$170.88	$216.30	$254.40