Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $2,238.72 / $6,456.54	Facility		$85.11	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $81.28 / $239.88	Professional		$37.15	$81.28	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $169.82	Professional		$69.18	$109.65	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $69.18 / $138.04	Professional		$29.51	$69.18	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $123.03 / $1,380.38	Facility		$54.95	$123.03	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $169.82	Professional		$58.88	$83.18	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $154.88	Professional		$64.57	$104.71	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $117.49	Professional		$25.12	$54.95	$117.49
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 $34.67 / $61.66 / $125.89	Professional		$34.67	$61.66	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $120.23	Professional		$52.48	$61.66	$120.23