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 $96.64 / $164.00 / $164.00	Professional		$96.64	$164.00	$164.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.61 / $265.27 / $301.45	Professional		$230.61	$265.27	$301.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $193.28 / $316.25	Professional		$103.93	$193.28	$316.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.95 / $273.87 / $1,607.00	Facility		$178.95	$273.87	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $252.63 / $796.48	Professional		$133.93	$252.63	$796.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $248.31 / $321.29	Facility		$158.63	$248.31	$321.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $236.34 / $321.29	Professional		$181.00	$236.34	$321.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $207.20 / $275.10	Professional		$189.50	$207.20	$275.10
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 $120.32 / $217.38 / $340.60	Professional		$120.32	$217.38	$340.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $211.80 / $249.20	Professional		$211.80	$211.80	$249.20