Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $55.37 / $55.37	Professional		$34.71	$55.37	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $100.53 / $137.29	Professional		$80.78	$100.53	$137.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $62.17 / $111.00	Professional		$34.61	$62.17	$111.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $109.07 / $6,237.94	Facility		$72.04	$109.07	$6,237.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $90.60 / $914.31	Professional		$49.39	$90.60	$914.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $116.77 / $1,813.25	Facility		$69.00	$116.77	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $80.78 / $116.77	Professional		$62.00	$80.78	$116.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $66.20 / $93.80	Professional		$3.00	$66.20	$93.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $88.18 / $125.88	Professional		$44.78	$88.18	$125.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $83.80	Professional		$71.20	$71.20	$83.80