Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.69 / $5,091.00 / $7,119.04	Facility		$392.69	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $127.53 / $433.00	Professional		$78.84	$127.53	$433.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $146.08 / $337.93	Professional		$113.32	$146.08	$337.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $138.36 / $226.02	Professional		$51.88	$138.36	$226.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $196.49 / $1,341.00	Facility		$78.84	$196.49	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $166.94 / $439.84	Professional		$113.62	$166.94	$439.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.45 / $160.72 / $311.44	Facility		$118.45	$160.72	$311.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $171.62 / $291.60	Professional		$113.54	$171.62	$291.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $101.73 / $209.38	Professional		$46.14	$101.73	$209.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $154.94 / $285.80	Professional		$113.62	$154.94	$285.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $108.80 / $242.70	Professional		$92.50	$108.80	$242.70