Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $114.70 / $415.00	Professional		$16.80	$114.70	$415.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $88.09 / $226.80	Professional		$15.00	$88.09	$226.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $88.35 / $161.02	Professional		$12.83	$88.35	$161.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $143.63 / $1,607.00	Facility		$19.39	$143.63	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $150.24 / $437.17	Professional		$51.17	$150.24	$437.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $143.63 / $226.80	Facility		$27.64	$143.63	$226.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $143.63 / $231.50	Professional		$32.53	$143.63	$231.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $88.96 / $179.84	Professional		$15.20	$88.96	$179.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $148.77 / $255.32	Professional		$103.68	$148.77	$255.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $23.70 / $163.10	Professional		$20.10	$23.70	$163.10