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 $94.01 / $189.55 / $305.58	Professional		$94.01	$189.55	$305.58
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 $129.19 / $348.92 / $609.79	Professional		$129.19	$348.92	$609.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $281.80 / $524.11	Professional		$91.85	$281.80	$524.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.02 / $285.88 / $520.98	Facility		$137.02	$285.88	$520.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $462.10 / $1,374.61	Professional		$236.18	$462.10	$1,374.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.22 / $378.00 / $543.42	Facility		$208.22	$378.00	$543.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $352.00 / $556.85	Professional		$197.36	$352.00	$556.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $208.77 / $416.39	Professional		$91.53	$208.77	$416.39
United Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $397.27 / $558.61	Professional		$236.18	$397.27	$558.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $206.20 / $463.20	Professional		$168.50	$206.20	$463.20