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 $49.11 / $62.56 / $115.08	Professional		$49.11	$62.56	$115.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $135.27 / $220.64	Professional		$55.86	$135.27	$220.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $88.00 / $177.45	Professional		$46.94	$88.00	$177.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.06 / $139.69 / $817.17	Facility		$94.06	$139.69	$817.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $145.71 / $3,468.63	Professional		$72.25	$145.71	$3,468.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $129.43 / $182.49	Facility		$108.00	$129.43	$182.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $127.58 / $182.49	Professional		$99.28	$127.58	$182.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $75.00 / $157.50	Professional		$5.00	$75.00	$157.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $98.35 / $194.47	Professional		$64.95	$98.35	$194.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $109.10 / $128.30	Professional		$86.19	$109.10	$128.30