Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.42 / $2,546.00 / $6,446.00	Facility		$452.42	$2,546.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $86.35 / $261.00	Professional		$28.12	$86.35	$261.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $79.59 / $239.57	Professional		$42.33	$79.59	$239.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $81.78 / $143.27	Professional		$22.34	$81.78	$143.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $103.49 / $1,341.00	Facility		$33.90	$103.49	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $110.07 / $308.26	Professional		$57.63	$110.07	$308.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $91.00 / $203.64	Facility		$48.67	$91.00	$203.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $98.64 / $203.64	Professional		$43.28	$98.64	$203.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $42.79 / $145.96	Professional		$20.91	$42.79	$145.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $88.61 / $168.31	Professional		$65.90	$88.61	$168.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $46.00 / $170.20	Professional		$39.10	$46.00	$170.20