Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,259.25 / $7,119.04	Facility		$2,218.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $42.22 / $192.00	Professional		$29.12	$42.22	$192.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $78.88 / $105.18	Professional		$62.60	$78.88	$105.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $54.17 / $114.52	Professional		$26.68	$54.17	$114.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $81.45 / $1,371.00	Facility		$54.50	$81.45	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $89.65 / $499.45	Professional		$48.55	$89.65	$499.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $82.24 / $109.89	Facility		$62.60	$82.24	$109.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $77.00 / $109.89	Professional		$57.35	$77.00	$109.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $81.00 / $98.30	Professional		$67.20	$81.00	$98.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $75.42 / $119.18	Professional		$42.10	$75.42	$119.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $63.80 / $83.80	Professional		$54.20	$63.80	$83.80