Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $5,011.87 / $7,943.28	Facility		$75.86	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $173.78 / $512.86	Professional		$48.98	$173.78	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $363.08	Professional		$112.20	$169.82	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $134.90 / $251.19	Professional		$48.98	$134.90	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $251.19 / $1,380.38	Facility		$75.86	$251.19	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $380.19	Professional		$104.71	$169.82	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $331.13	Professional		$104.71	$190.55	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $100.00 / $245.47	Professional		$42.66	$100.00	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $263.03	Professional		$58.88	$120.23	$263.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $251.19	Professional		$85.11	$100.00	$251.19