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 $71.53 / $109.47 / $421.66	Professional		$71.53	$109.47	$421.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $179.03 / $218.58	Professional		$95.44	$179.03	$218.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $121.13 / $280.75	Professional		$76.20	$121.13	$280.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $179.03 / $2,126.00	Facility		$104.08	$179.03	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $177.91 / $584.88	Professional		$92.96	$177.91	$584.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.33 / $179.03 / $255.51	Facility		$123.33	$179.03	$255.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $179.03 / $255.51	Professional		$123.33	$179.03	$255.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $154.40 / $203.90	Professional		$103.50	$154.40	$203.90
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 $85.22 / $130.24 / $252.19	Professional		$85.22	$130.24	$252.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $157.90 / $185.70	Professional		$124.74	$157.90	$185.70