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 $40.74 / $50.70 / $105.88	Professional		$40.74	$50.70	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $109.28 / $139.26	Professional		$88.04	$109.28	$139.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $80.13 / $150.00	Professional		$37.54	$80.13	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $106.88 / $1,371.00	Facility		$74.28	$106.88	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $115.98 / $389.19	Professional		$62.95	$115.98	$389.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.07 / $107.70 / $146.01	Facility		$88.07	$107.70	$146.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $98.64 / $133.31	Professional		$79.66	$98.64	$133.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $74.27 / $97.22	Professional		$39.86	$74.27	$97.22
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 $55.52 / $99.46 / $157.16	Professional		$55.52	$99.46	$157.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $89.70 / $111.30	Professional		$76.30	$89.70	$111.30