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 $36.20 / $63.42 / $270.85	Professional		$36.20	$63.42	$270.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $88.04 / $110.05	Professional		$42.47	$88.04	$110.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $48.92 / $162.01	Professional		$32.82	$48.92	$162.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $117.43 / $1,371.00	Facility		$77.87	$117.43	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $106.67 / $269.44	Professional		$52.90	$106.67	$269.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $100.00 / $130.30	Facility		$77.87	$100.00	$130.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $105.32 / $134.94	Professional		$77.87	$105.32	$134.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $56.30 / $68.42	Professional		$31.54	$56.30	$68.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $75.75 / $143.49	Professional		$48.49	$75.75	$143.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $73.80 / $84.60	Professional		$56.80	$73.80	$84.60