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 $43.91 / $90.72 / $115.31	Professional		$43.91	$90.72	$115.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $117.64 / $147.06	Professional		$61.62	$117.64	$147.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $64.76 / $209.39	Professional		$42.42	$64.76	$209.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $160.63 / $1,371.00	Facility		$82.65	$160.63	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $135.69 / $383.56	Professional		$72.86	$135.69	$383.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $116.26 / $167.53	Facility		$38.43	$116.26	$167.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $144.09 / $182.88	Professional		$101.16	$144.09	$182.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $64.58 / $91.96	Professional		$42.42	$64.58	$91.96
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 $66.79 / $97.15 / $197.66	Professional		$66.79	$97.15	$197.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $95.90 / $112.70	Professional		$75.68	$95.90	$112.70