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 $96.35 / $142.33 / $270.83	Professional		$96.35	$142.33	$270.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.39 / $255.16 / $341.83	Professional		$194.39	$255.16	$341.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $165.24 / $302.23	Professional		$80.62	$165.24	$302.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $240.54 / $1,151.00	Facility		$147.66	$240.54	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $254.15 / $873.44	Professional		$141.63	$254.15	$873.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $198.00 / $289.55	Facility		$122.22	$198.00	$289.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $226.76 / $311.06	Professional		$168.48	$226.76	$311.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $195.20 / $302.20	Professional		$3.00	$195.20	$302.20
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 $123.38 / $217.12 / $343.11	Professional		$123.38	$217.12	$343.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $198.80 / $263.30	Professional		$169.00	$198.80	$263.30