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 $33.33 / $55.89 / $181.47	Professional		$33.33	$55.89	$181.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $137.00 / $282.00	Professional	50	$60.55	$137.00	$282.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $93.49 / $144.13	Professional		$67.25	$93.49	$144.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $60.91 / $150.82	Professional		$31.13	$60.91	$150.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $93.13 / $758.10	Facility		$48.75	$93.13	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $95.99 / $251.68	Professional		$53.05	$95.99	$251.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $87.97 / $127.45	Facility		$37.27	$87.97	$127.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $95.99 / $133.31	Professional		$68.69	$95.99	$133.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $53.42 / $90.20	Professional		$32.15	$53.42	$90.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $74.62 / $143.62	Professional		$48.69	$74.62	$143.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $74.70 / $112.50	Professional		$63.50	$74.70	$112.50