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 $66.00 / $137.99 / $250.54	Professional		$66.00	$137.99	$250.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $282.58 / $413.90	Professional		$142.65	$282.58	$413.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $194.39 / $326.61	Professional		$59.13	$194.39	$326.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $268.87 / $4,452.04	Facility		$142.65	$268.87	$4,452.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $310.05 / $1,071.76	Professional		$152.01	$310.05	$1,071.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.18 / $212.20 / $375.04	Facility		$143.18	$212.20	$375.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $219.00 / $375.04	Professional		$142.65	$219.00	$375.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $276.50 / $397.90	Professional		$5.00	$276.50	$397.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $246.60 / $429.28	Professional		$151.65	$246.60	$429.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $145.40 / $316.00	Professional		$123.60	$145.40	$316.00