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 $23.64 / $34.60 / $34.60	Professional		$23.64	$34.60	$34.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $61.94 / $69.77	Professional		$49.55	$61.94	$69.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $38.24 / $84.01	Professional		$23.23	$38.24	$84.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $64.38 / $1,623.00	Facility		$47.19	$64.38	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $61.53 / $406.00	Professional		$37.72	$61.53	$406.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $58.55 / $69.16	Facility		$39.96	$58.55	$69.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $57.07 / $69.16	Professional		$39.96	$57.07	$69.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $54.70 / $62.80	Professional		$45.40	$54.70	$62.80
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 $30.80 / $57.12 / $80.09	Professional		$30.80	$57.12	$80.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $37.10 / $43.60	Professional		$37.10	$37.10	$43.60