Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,290.87 / $6,456.54	Facility		$134.90	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $83.18 / $223.87	Professional		$26.92	$83.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $269.15	Professional		$64.57	$144.54	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $100.00 / $173.78	Professional		$28.84	$100.00	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $1,380.38	Facility		$60.26	$162.18	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $251.19	Professional		$70.79	$114.82	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $223.87	Professional		$66.07	$144.54	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $181.97	Professional		$26.92	$61.66	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $177.83	Professional		$34.67	$81.28	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $186.21	Professional		$50.12	$58.88	$186.21