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 Facility Modifier 50 Low / Median / High Price $369.60 / $369.60 / $369.60	Facility	50	$369.60	$369.60	$369.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $38.71 / $153.08	Professional		$18.36	$38.71	$153.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.36 / $133.50 / $321.00	Professional	50	$44.36	$133.50	$321.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $51.42 / $78.45	Professional		$25.81	$51.42	$78.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $24.71 / $125.69	Professional		$17.14	$24.71	$125.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $92.22 / $1,371.00	Facility		$40.75	$92.22	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $68.69 / $300.00	Professional		$30.34	$68.69	$300.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $59.79 / $80.41	Facility		$40.75	$59.79	$80.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $66.75 / $102.23	Professional		$43.54	$66.75	$102.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $32.07 / $38.69	Professional		$18.04	$32.07	$38.69
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 $27.81 / $47.27 / $92.12	Professional		$27.81	$47.27	$92.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $41.50 / $49.00	Professional		$32.86	$41.50	$49.00