Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.60 / $497.54 / $5,549.00	Facility		$105.60	$497.54	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $122.83 / $353.76	Professional		$39.86	$122.83	$353.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $116.23 / $290.20	Professional		$57.33	$116.23	$290.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $117.14 / $202.56	Professional		$39.59	$117.14	$202.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $153.83 / $1,371.00	Facility		$57.41	$153.83	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $175.47 / $355.82	Professional		$94.88	$175.47	$355.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.42 / $130.43 / $257.01	Facility		$91.42	$130.43	$257.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $175.47 / $282.39	Professional		$81.52	$175.47	$282.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $90.38 / $176.05	Professional		$34.04	$90.38	$176.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,640.00 / $3,560.25	Facility		$1,026.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $150.05 / $305.27	Professional		$105.56	$150.05	$305.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $78.09 / $206.50	Professional		$66.40	$78.09	$206.50