Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $396.49 / $7,119.04	Facility		$172.48	$396.49	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $143.37 / $586.00	Professional		$62.71	$143.37	$586.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $207.89 / $395.39	Professional		$130.28	$207.89	$395.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $146.41 / $247.60	Professional		$59.46	$146.41	$247.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.78 / $208.68 / $1,341.00	Facility		$90.78	$208.68	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $211.54 / $516.88	Professional		$128.85	$211.54	$516.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.99 / $207.89 / $372.07	Facility		$143.99	$207.89	$372.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $206.94 / $372.07	Professional		$130.28	$206.94	$372.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $117.03 / $243.12	Professional		$52.62	$117.03	$243.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $198.32 / $396.17	Professional		$125.60	$198.32	$396.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $124.90 / $283.89	Professional		$106.10	$124.90	$283.89