Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $2,511.89 / $6,760.83	Facility		$77.62	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $125.89 / $223.87	Professional		$47.86	$125.89	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $416.87	Professional		$114.82	$154.88	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $208.93 / $588.84	Professional		$67.61	$208.93	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $263.03 / $1,778.28	Facility		$112.20	$263.03	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $512.86	Professional		$147.91	$288.40	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $288.40 / $436.52	Professional		$112.20	$288.40	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $436.52	Professional		$131.83	$154.88	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $128.82 / $295.12	Professional		$51.29	$128.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $416.87	Professional		$70.79	$181.97	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $295.12	Professional		$91.20	$107.15	$295.12