Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $191.54 / $793.00	Professional		$132.63	$191.54	$793.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $346.46 / $425.15	Professional		$273.45	$346.46	$425.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $239.83 / $440.53	Professional		$121.29	$239.83	$440.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.02 / $349.54 / $2,651.52	Facility		$211.02	$349.54	$2,651.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $349.81 / $3,020.93	Professional		$194.20	$349.81	$3,020.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $286.76 / $412.88	Facility		$101.94	$286.76	$412.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $344.62 / $425.15	Professional		$242.00	$344.62	$425.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $284.00 / $394.00	Professional		$4.00	$284.00	$394.00
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 $168.75 / $270.31 / $470.55	Professional		$168.75	$270.31	$470.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $292.20 / $353.80	Professional		$248.40	$292.20	$353.80