Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $889.95 / $5,549.00	Facility		$213.20	$889.95	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $166.02 / $449.00	Professional		$70.97	$166.02	$449.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $130.50 / $359.36	Professional		$71.89	$130.50	$359.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $146.55 / $317.17	Professional		$49.92	$146.55	$317.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $190.36 / $1,607.00	Facility		$70.97	$190.36	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $201.70 / $442.32	Professional		$115.25	$201.70	$442.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $160.69 / $318.27	Facility		$114.82	$160.69	$318.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $220.68 / $355.23	Professional		$101.90	$220.68	$355.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $114.57 / $222.93	Professional		$42.21	$114.57	$222.93
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 $112.64 / $177.11 / $355.01	Professional		$112.64	$177.11	$355.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $97.60 / $257.39	Professional		$83.00	$97.60	$257.39