Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $72.31 / $72.31	Professional		$45.62	$72.31	$72.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $128.51 / $148.03	Professional		$108.93	$128.51	$148.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $92.03 / $150.00	Professional		$49.46	$92.03	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $135.81 / $1,640.00	Facility		$98.63	$135.81	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $129.93 / $659.20	Professional		$65.86	$129.93	$659.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $118.77 / $168.46	Facility		$81.23	$118.77	$168.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $118.19 / $168.46	Professional		$83.00	$118.19	$168.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $94.70 / $148.19	Professional		$6.00	$94.70	$148.19
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 $61.74 / $110.60 / $174.78	Professional		$61.74	$110.60	$174.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $115.30	Professional		$98.00	$98.00	$115.30