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 $32.64 / $50.97 / $179.00	Professional		$32.64	$50.97	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $91.55 / $129.56	Professional		$74.97	$91.55	$129.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $61.65 / $150.00	Professional		$31.90	$61.65	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $96.65 / $1,607.00	Facility		$65.34	$96.65	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $87.13 / $578.41	Professional		$43.19	$87.13	$578.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $106.60 / $247.08	Facility		$61.00	$106.60	$247.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $81.50 / $107.40	Professional		$56.00	$81.50	$107.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $67.00 / $106.40	Professional		$6.00	$67.00	$106.40
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 $38.72 / $77.09 / $109.61	Professional		$38.72	$77.09	$109.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $63.50 / $74.70	Professional		$63.50	$63.50	$74.70