Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.26 / $5,549.00 / $11,100.08	Facility		$380.26	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $101.85 / $366.00	Professional		$39.85	$101.85	$366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $95.44 / $240.96	Professional		$65.16	$95.44	$240.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $105.48 / $172.85	Professional		$33.69	$105.48	$172.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $147.53 / $1,341.00	Facility		$51.62	$147.53	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $146.07 / $377.94	Professional		$80.69	$146.07	$377.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.91 / $142.66 / $273.82	Facility		$74.91	$142.66	$273.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $133.59 / $247.05	Professional		$65.16	$133.59	$247.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $65.56 / $177.14	Professional		$30.49	$65.56	$177.14
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 $87.12 / $140.90 / $227.31	Professional		$87.12	$140.90	$227.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $70.40 / $205.80	Professional		$59.90	$70.40	$205.80