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 $58.26 / $75.73 / $99.55	Professional		$58.26	$75.73	$99.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $185.13 / $234.70	Professional		$108.85	$185.13	$234.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $117.32 / $215.70	Professional		$44.70	$117.32	$215.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.39 / $163.19 / $1,151.00	Facility		$89.39	$163.19	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $172.51 / $609.44	Professional		$95.38	$172.51	$609.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $117.56 / $202.01	Facility		$74.73	$117.56	$202.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $145.53 / $222.19	Professional		$95.25	$145.53	$222.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $149.40 / $212.60	Professional		$105.70	$149.40	$212.60
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 $86.02 / $163.69 / $243.50	Professional		$86.02	$163.69	$243.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $106.80 / $183.90	Professional		$90.80	$106.80	$183.90