Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.28 / $3,789.00 / $7,119.04	Facility		$220.28	$3,789.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $115.94 / $234.71	Professional		$88.30	$115.94	$234.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $269.76 / $419.14	Professional		$186.31	$269.76	$419.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $165.33 / $270.30	Professional		$85.26	$165.33	$270.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $258.20 / $10,320.00	Facility		$142.93	$258.20	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $258.20 / $1,142.80	Professional		$143.11	$258.20	$1,142.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $305.52 / $4,164.35	Facility		$176.77	$305.52	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $234.77 / $378.51	Professional		$159.84	$234.77	$378.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $180.10 / $422.10	Professional		$4.00	$180.10	$422.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,036.00 / $8,847.00 / $12,677.58	Facility		$6,036.00	$8,847.00	$12,677.58
United Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $228.05 / $388.23	Professional		$130.90	$228.05	$388.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.70 / $211.40 / $335.20	Professional		$179.70	$211.40	$335.20