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 $30.91 / $50.96 / $124.81	Professional		$30.91	$50.96	$124.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $71.25 / $141.72	Professional		$43.59	$71.25	$141.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $57.67 / $120.47	Professional		$30.32	$57.67	$120.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $88.34 / $1,371.00	Facility		$47.31	$88.34	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $100.42 / $205.61	Professional		$58.51	$100.42	$205.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $75.69 / $113.16	Facility		$52.36	$75.69	$113.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $75.69 / $119.55	Professional		$52.36	$75.69	$119.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $104.60 / $135.00	Professional		$27.40	$104.60	$135.00
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 $58.51 / $109.24 / $129.62	Professional		$58.51	$109.24	$129.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $54.00 / $86.00	Professional		$45.90	$54.00	$86.00