Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.84 / $2,218.00 / $6,298.62	Facility		$206.84	$2,218.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $138.36 / $376.00	Professional		$74.70	$138.36	$376.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $203.06 / $270.74	Professional		$98.59	$203.06	$270.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $118.90 / $190.86	Professional		$69.45	$118.90	$190.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $186.79 / $1,371.00	Facility		$92.96	$186.79	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $172.07 / $573.76	Professional		$95.90	$172.07	$573.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $195.67 / $246.21	Facility		$126.00	$195.67	$246.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $185.08 / $237.32	Professional		$118.69	$185.08	$237.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $129.02 / $168.63	Professional		$72.28	$129.02	$168.63
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 $90.76 / $125.51 / $232.30	Professional		$90.76	$125.51	$232.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $162.50 / $194.60	Professional		$130.66	$162.50	$194.60