Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.44 / $5,549.00 / $11,100.08	Facility		$392.44	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $144.22 / $563.00	Professional		$77.34	$144.22	$563.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $172.38 / $375.91	Professional		$119.87	$172.38	$375.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $152.60 / $257.92	Professional		$61.55	$152.60	$257.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $196.76 / $1,204.00	Facility		$95.76	$196.76	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $217.58 / $522.72	Professional		$123.53	$217.58	$522.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $181.33 / $342.22	Facility		$133.91	$181.33	$342.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $207.87 / $361.59	Professional		$121.02	$207.87	$361.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $127.70 / $245.88	Professional		$56.51	$127.70	$245.88
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 $125.47 / $203.99 / $333.18	Professional		$125.47	$203.99	$333.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $128.30 / $284.60	Professional		$109.10	$128.30	$284.60