Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $135.03 / $250.05	Professional		$36.95	$135.03	$250.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $93.97 / $410.00	Professional		$74.01	$93.97	$410.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $188.97 / $380.43	Professional		$30.83	$188.97	$380.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $365.82 / $3,522.00	Facility		$81.06	$365.82	$3,522.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $322.12 / $687.00	Professional		$88.98	$322.12	$687.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.53 / $404.42 / $635.45	Facility		$81.53	$404.42	$635.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $265.60 / $426.33	Professional		$72.05	$265.60	$426.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $135.72 / $682.30	Professional		$32.17	$135.72	$682.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $337.68 / $489.17	Professional		$177.86	$337.68	$489.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $77.70 / $327.30	Professional		$66.09	$77.70	$327.30