Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $138.57 / $258.08	Professional		$86.40	$138.57	$258.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $633.00	Professional	50	$221.07	$221.07	$633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $262.16 / $343.78	Professional		$184.86	$262.16	$343.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $169.28 / $339.28	Professional		$77.94	$169.28	$339.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.12 / $258.14 / $2,142.52	Facility		$161.12	$258.14	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $262.01 / $897.60	Professional		$160.97	$262.01	$897.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.74 / $209.20 / $312.48	Facility		$106.74	$209.20	$312.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $233.00 / $321.86	Professional		$170.59	$233.00	$321.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $210.60 / $314.00	Professional		$3.00	$210.60	$314.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $232.02 / $366.64	Professional		$132.50	$232.02	$366.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $188.40 / $267.00	Professional		$160.10	$188.40	$267.00