Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.44 / $2,563.00 / $6,446.00	Facility		$421.44	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $88.95 / $259.45	Professional		$36.42	$88.95	$259.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $88.83 / $261.00	Professional		$63.11	$88.83	$261.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $98.89 / $156.78	Professional		$28.66	$98.89	$156.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $126.91 / $1,204.00	Facility		$44.15	$126.91	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $123.07 / $373.00	Professional		$72.04	$123.07	$373.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $110.00 / $216.13	Facility		$70.81	$110.00	$216.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $119.70 / $223.06	Professional		$65.58	$119.70	$223.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $82.22 / $158.81	Professional		$27.24	$82.22	$158.81
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 $79.87 / $115.38 / $188.45	Professional		$79.87	$115.38	$188.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $58.60 / $185.50	Professional		$49.80	$58.60	$185.50