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 $6.51 / $7.93 / $42.38	Professional		$6.51	$7.93	$42.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $17.97 / $23.92	Professional		$11.18	$17.97	$23.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $11.72 / $74.68	Professional		$7.17	$11.72	$74.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $19.14 / $268.45	Facility		$9.17	$19.14	$268.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.23 / $382.94	Professional		$10.10	$18.23	$382.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $17.97 / $23.92	Facility		$14.71	$17.97	$23.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $17.97 / $23.92	Professional		$12.28	$17.97	$23.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $32.20 / $32.20	Professional		$32.20	$32.20	$32.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.49 / $21.46	Professional		$8.68	$13.49	$21.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.30 / $18.10	Professional		$12.09	$15.30	$18.10