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 $122.99 / $167.28 / $167.28	Professional		$122.99	$167.28	$167.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $316.51 / $337.48	Professional		$253.21	$316.51	$337.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $200.90 / $344.58	Professional		$116.71	$200.90	$344.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $290.05 / $5,847.00	Facility		$218.00	$290.05	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $276.57 / $883.32	Professional		$143.12	$276.57	$883.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.44 / $276.57 / $349.64	Facility		$181.44	$276.57	$349.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $276.57 / $349.64	Professional		$185.00	$276.57	$349.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $241.90 / $310.50	Professional		$146.19	$241.90	$310.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $234.72 / $370.91	Professional		$131.03	$234.72	$370.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $243.90 / $286.89	Professional		$243.90	$243.90	$286.89