Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $60.07 / $91.79	Professional		$50.14	$60.07	$91.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $124.91 / $156.79	Professional		$56.32	$124.91	$156.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $73.20 / $297.43	Professional		$41.16	$73.20	$297.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $121.06 / $3,804.17	Facility		$73.16	$121.06	$3,804.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $112.92 / $772.72	Professional		$62.17	$112.92	$772.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $133.77 / $1,300.32	Facility		$90.00	$133.77	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $112.92 / $138.94	Professional		$76.00	$112.92	$138.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $109.50	Professional		$5.00	$5.00	$109.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $86.07 / $168.66	Professional		$56.99	$86.07	$168.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $89.20 / $104.90	Professional		$70.47	$89.20	$104.90