Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $75.55 / $188.05	Professional		$32.58	$75.55	$188.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $96.04 / $204.51	Professional		$46.73	$96.04	$204.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.72 / $175.02	Professional		$32.36	$83.72	$175.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $88.34 / $1,623.00	Facility		$38.53	$88.34	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $118.11 / $250.50	Professional		$74.76	$118.11	$250.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $128.06 / $206.04	Facility		$66.23	$128.06	$206.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $128.06 / $206.04	Professional		$66.23	$128.06	$206.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $59.42 / $126.98	Professional		$27.51	$59.42	$126.98
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 $74.48 / $101.58 / $202.94	Professional		$74.48	$101.58	$202.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $63.50 / $146.50	Professional		$54.00	$63.50	$146.50