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 $93.13 / $142.04 / $549.64	Professional		$93.13	$142.04	$549.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $231.30 / $289.04	Professional		$117.99	$231.30	$289.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $170.98 / $373.87	Professional		$98.55	$170.98	$373.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $231.44 / $1,321.00	Facility		$146.75	$231.44	$1,321.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $231.44 / $1,061.66	Professional		$121.15	$231.44	$1,061.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $231.44 / $331.62	Facility		$161.25	$231.44	$331.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $231.44 / $311.70	Professional		$161.25	$231.44	$311.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $195.00 / $264.80	Professional		$27.40	$195.00	$264.80
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 $111.06 / $167.29 / $328.66	Professional		$111.06	$167.29	$328.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $204.10 / $240.10	Professional		$161.24	$204.10	$240.10