Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $5,463.36 / $7,119.04	Facility		$140.10	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $137.03 / $487.00	Professional		$62.71	$137.03	$487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $176.27 / $369.90	Professional		$129.50	$176.27	$369.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $145.56 / $240.38	Professional		$62.37	$145.56	$240.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $185.54 / $1,204.00	Facility		$95.26	$185.54	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $205.64 / $516.77	Professional		$122.96	$205.64	$516.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $183.72 / $337.39	Facility		$137.79	$183.72	$337.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $192.39 / $365.66	Professional		$132.22	$192.39	$365.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $126.26 / $245.87	Professional		$56.70	$126.26	$245.87
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 $122.96 / $194.15 / $317.10	Professional		$122.96	$194.15	$317.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $131.10 / $283.89	Professional		$111.50	$131.10	$283.89