Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.40 / $5,549.00 / $11,100.08	Facility		$1,135.40	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $119.64 / $233.68	Professional		$63.36	$119.64	$233.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $183.09 / $370.07	Professional		$91.58	$183.09	$370.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $172.00 / $317.52	Professional		$59.65	$172.00	$317.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $190.07 / $1,026.00	Facility		$121.17	$190.07	$1,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $275.58 / $3,722.02	Professional		$131.54	$275.58	$3,722.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $196.04 / $326.87	Facility		$121.17	$196.04	$326.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $201.94 / $342.29	Professional		$121.17	$201.94	$342.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.70 / $298.60	Professional		$3.00	$168.70	$298.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $182.21 / $370.71	Professional		$125.27	$182.21	$370.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $153.10 / $288.39	Professional		$125.10	$153.10	$288.39