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 $197.40 / $315.41 / $1,431.77	Professional		$197.40	$315.41	$1,431.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.68 / $690.28 / $862.85	Professional		$413.68	$690.28	$862.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $358.05 / $2,561.63	Professional		$171.44	$358.05	$2,561.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.41 / $533.04 / $6,608.00	Facility		$315.41	$533.04	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $325.54 / $642.38	Professional		$173.89	$325.54	$642.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.12 / $409.50 / $545.25	Facility		$207.12	$409.50	$545.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $413.21 / $545.25	Professional		$210.20	$413.21	$545.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $316.39 / $610.69	Professional		$156.88	$316.39	$610.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $135.50	Professional		$135.50	$135.50	$135.50