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 / $10,506.16	Facility		$4,277.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $194.99 / $654.00	Professional		$127.79	$194.99	$654.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $337.36 / $360.24	Professional		$279.70	$337.36	$360.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $214.33 / $468.46	Professional		$122.97	$214.33	$468.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.23 / $374.89 / $9,495.24	Facility		$226.23	$374.89	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $297.81 / $1,068.90	Professional		$157.52	$297.81	$1,068.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $381.82 / $3,093.19	Facility		$232.00	$381.82	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $293.82 / $381.82	Professional		$212.00	$293.82	$381.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $241.80 / $328.00	Professional		$3.00	$241.80	$328.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $253.50 / $400.60	Professional		$141.52	$253.50	$400.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $252.80 / $297.39	Professional		$252.80	$252.80	$297.39