Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $122.37 / $122.37	Professional		$68.22	$122.37	$122.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $192.98 / $259.14	Professional		$163.04	$192.98	$259.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $117.89 / $208.40	Professional		$68.94	$117.89	$208.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $208.45 / $7,305.00	Facility		$122.37	$208.45	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $183.92 / $1,656.28	Professional		$94.60	$183.92	$1,656.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $226.31 / $2,256.42	Facility		$131.00	$226.31	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $170.55 / $226.39	Professional		$119.00	$170.55	$226.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $140.50 / $258.00	Professional		$3.00	$140.50	$258.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $152.44 / $233.83	Professional		$82.60	$152.44	$233.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $141.19 / $166.10	Professional		$141.19	$141.19	$166.10