Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.35 / $2,563.00 / $6,446.00	Facility		$312.35	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $89.60 / $391.88	Professional		$38.65	$89.60	$391.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $71.09 / $172.38	Professional		$39.20	$71.09	$172.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $71.11 / $141.78	Professional		$27.17	$71.11	$141.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $74.11 / $1,623.00	Facility		$32.24	$74.11	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $100.09 / $209.46	Professional		$62.63	$100.09	$209.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $108.53 / $174.63	Facility		$55.31	$108.53	$174.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $108.53 / $174.63	Professional		$55.31	$108.53	$174.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $52.95 / $108.40	Professional		$24.53	$52.95	$108.40
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 $62.63 / $90.35 / $170.60	Professional		$62.63	$90.35	$170.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $53.00 / $124.20	Professional		$45.10	$53.00	$124.20