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 $63.75 / $169.24 / $267.14	Professional		$63.75	$169.24	$267.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $204.46 / $529.53	Professional		$87.44	$204.46	$529.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $235.07 / $413.46	Professional		$61.28	$235.07	$413.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.32 / $228.47 / $451.48	Facility		$92.32	$228.47	$451.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $416.36 / $1,237.14	Professional		$188.47	$416.36	$1,237.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $301.00 / $482.10	Facility		$141.22	$301.00	$482.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $275.91 / $493.11	Professional		$134.94	$275.91	$493.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $179.44 / $360.30	Professional		$61.31	$179.44	$360.30
United Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $373.01 / $512.64	Professional		$204.63	$373.01	$512.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $137.50 / $399.20	Professional		$112.30	$137.50	$399.20