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 $81.25 / $121.18 / $413.00	Professional		$81.25	$121.18	$413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $209.38 / $262.95	Professional		$163.04	$209.38	$262.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $131.30 / $234.87	Professional		$68.45	$131.30	$234.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $201.12 / $1,151.00	Facility		$122.50	$201.12	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $201.60 / $675.12	Professional		$115.98	$201.60	$675.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $168.71 / $231.85	Facility		$74.56	$168.71	$231.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $189.63 / $240.20	Professional		$139.72	$189.63	$240.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $160.80 / $224.70	Professional		$3.00	$160.80	$224.70
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 $101.45 / $197.27 / $279.83	Professional		$101.45	$197.27	$279.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $166.10 / $205.50	Professional		$141.19	$166.10	$205.50