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 $35.79 / $50.55 / $203.68	Professional		$35.79	$50.55	$203.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $92.97 / $161.63	Professional		$49.85	$92.97	$161.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $69.95 / $159.83	Professional		$36.86	$69.95	$159.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $94.99 / $1,300.00	Facility		$60.53	$94.99	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $92.95 / $496.00	Professional		$46.09	$92.95	$496.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $94.99 / $117.85	Facility		$70.95	$94.99	$117.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $92.97 / $117.85	Professional		$70.95	$92.97	$117.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $69.38 / $89.20	Professional		$35.29	$69.38	$89.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $72.23 / $125.04	Professional		$42.25	$72.23	$125.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $75.09 / $88.30	Professional		$59.33	$75.09	$88.30