Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $41.57 / $72.75	Professional		$35.63	$41.57	$72.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $95.10 / $181.03	Professional		$38.65	$95.10	$181.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $59.97 / $334.42	Professional		$35.25	$59.97	$334.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $94.72 / $1,966.00	Facility		$62.47	$94.72	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $95.10 / $3,744.05	Professional		$44.69	$95.10	$3,744.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $89.92 / $117.85	Facility		$67.00	$89.92	$117.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $89.92 / $452.00	Professional		$62.00	$89.92	$452.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $49.30 / $101.50	Professional		$3.00	$49.30	$101.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $79.02 / $123.26	Professional		$40.96	$79.02	$123.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $73.80 / $86.80	Professional		$58.30	$73.80	$86.80