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 $62.21 / $72.92 / $116.60	Professional		$62.21	$72.92	$116.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $131.72 / $152.36	Professional		$105.38	$131.72	$152.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $86.79 / $166.48	Professional		$50.24	$86.79	$166.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $134.96 / $1,623.00	Facility		$94.60	$134.96	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $123.63 / $812.00	Professional		$77.45	$123.63	$812.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $122.73 / $139.57	Facility		$83.04	$122.73	$139.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $112.58 / $145.32	Professional		$83.04	$112.58	$145.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $116.30 / $126.50	Professional		$98.50	$116.30	$126.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $114.43 / $146.16	Professional		$61.80	$114.43	$146.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $94.90	Professional		$80.59	$80.59	$94.90