Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.96 / $896.48 / $6,066.00	Facility		$144.96	$896.48	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $76.30 / $352.29	Professional		$45.92	$76.30	$352.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $131.93 / $170.43	Professional		$109.47	$131.93	$170.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $86.92 / $254.34	Professional		$62.43	$86.92	$254.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $123.86 / $1,607.00	Facility		$74.75	$123.86	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $138.97 / $372.48	Professional		$77.20	$138.97	$372.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $131.93 / $175.45	Facility		$107.71	$131.93	$175.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $131.00 / $175.45	Professional		$107.71	$131.00	$175.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $82.70 / $111.13	Professional		$48.02	$82.70	$111.13
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 $68.40 / $118.31 / $186.95	Professional		$68.40	$118.31	$186.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $103.20 / $125.60	Professional		$87.70	$103.20	$125.60