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 / $7,119.04	Facility		$4,277.00	$5,549.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $53.63 / $158.94	Professional		$17.46	$53.63	$158.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $94.88 / $157.33	Professional		$30.00	$94.88	$157.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $74.65 / $209.87	Professional		$20.01	$74.65	$209.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $67.06 / $192.74	Facility		$37.27	$67.06	$192.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $129.29 / $300.37	Professional		$52.93	$129.29	$300.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $103.84 / $177.61	Facility		$31.05	$103.84	$177.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $97.02 / $157.33	Professional		$35.47	$97.02	$157.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $144.80 / $178.80	Professional		$23.10	$144.80	$178.80
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $119.00 / $224.94	Professional		$60.90	$119.00	$224.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $36.29 / $137.19	Professional		$30.00	$36.29	$137.19