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 $59.05 / $72.09 / $236.00	Professional		$59.05	$72.09	$236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $160.13 / $216.20	Professional		$89.60	$160.13	$216.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $104.01 / $203.55	Professional		$37.00	$104.01	$203.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $163.34 / $1,341.00	Facility		$93.32	$163.34	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $159.69 / $640.57	Professional		$89.78	$159.69	$640.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.33 / $137.00 / $199.13	Facility		$91.33	$137.00	$199.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $125.39 / $199.13	Professional		$84.55	$125.39	$199.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $137.50 / $194.40	Professional		$3.00	$137.50	$194.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $140.06 / $218.43	Professional		$78.78	$140.06	$218.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $90.60 / $169.10	Professional		$77.00	$90.60	$169.10