Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.08 / $5,091.00 / $7,119.04	Facility		$387.08	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $110.28 / $439.00	Professional		$43.26	$110.28	$439.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $134.02 / $332.09	Professional		$86.65	$134.02	$332.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $122.08 / $199.17	Professional		$45.03	$122.08	$199.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $165.38 / $1,204.00	Facility		$69.31	$165.38	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $170.33 / $436.42	Professional		$98.00	$170.33	$436.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.02 / $143.22 / $285.12	Facility		$109.02	$143.22	$285.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $158.10 / $286.29	Professional		$87.77	$158.10	$286.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $105.62 / $205.28	Professional		$40.94	$105.62	$205.28
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 $103.37 / $147.97 / $263.32	Professional		$103.37	$147.97	$263.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $94.20 / $237.80	Professional		$80.00	$94.20	$237.80