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 $21.08 / $31.52 / $41.30	Professional		$21.08	$31.52	$41.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $56.77 / $74.01	Professional		$45.19	$56.77	$74.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $37.72 / $73.25	Professional		$19.02	$37.72	$73.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $58.52 / $1,371.00	Facility		$44.39	$58.52	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $63.09 / $284.63	Professional		$34.70	$63.09	$284.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $56.77 / $78.39	Facility		$44.39	$56.77	$78.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $55.44 / $71.95	Professional		$41.78	$55.44	$71.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $35.34 / $50.10	Professional		$19.80	$35.34	$50.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $53.70 / $84.87	Professional		$29.98	$53.70	$84.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $42.50 / $54.40	Professional		$36.20	$42.50	$54.40