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 $37.39 / $133.96 / $295.39	Professional		$37.39	$133.96	$295.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.76 / $260.76 / $260.76	Professional	50	$260.76	$260.76	$260.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $180.59 / $505.44	Professional		$60.60	$180.59	$505.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $223.47 / $586.52	Professional		$48.78	$223.47	$586.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.27 / $211.98 / $1,026.00	Facility		$65.27	$211.98	$1,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $341.09 / $992.47	Professional		$153.60	$341.09	$992.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $254.56 / $504.42	Facility		$75.78	$254.56	$504.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $282.42 / $504.42	Professional		$75.78	$282.42	$504.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $230.50	Professional		$3.00	$3.00	$230.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $240.69 / $480.68	Professional		$162.43	$240.69	$480.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $94.20 / $388.80	Professional		$77.00	$94.20	$388.80