Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.83 / $3,034.03 / $6,298.62	Facility		$236.83	$3,034.03	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $179.30 / $566.00	Professional		$99.65	$179.30	$566.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $239.57 / $323.58	Professional		$123.68	$239.57	$323.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $151.91 / $283.92	Professional		$82.78	$151.91	$283.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $210.66 / $4,033.83	Facility		$124.65	$210.66	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $214.50 / $618.64	Professional		$136.00	$214.50	$618.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $189.06 / $314.11	Facility		$138.01	$189.06	$314.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $237.91 / $346.06	Professional		$161.50	$237.91	$346.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $145.19 / $230.39	Professional		$80.28	$145.19	$230.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $154.94 / $311.56	Professional		$125.35	$154.94	$311.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $175.10 / $265.10	Professional		$148.80	$175.10	$265.10