Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $2,234.00 / $6,298.62	Facility		$86.43	$2,234.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $83.81 / $251.00	Professional		$38.82	$83.81	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $83.75 / $152.63	Professional		$56.05	$83.75	$152.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $68.87 / $130.91	Professional		$29.38	$68.87	$130.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $87.89 / $1,341.00	Facility		$45.49	$87.89	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $89.78 / $222.32	Professional		$60.77	$89.78	$222.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $91.05 / $153.72	Facility		$64.04	$91.05	$153.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $91.05 / $152.63	Professional		$63.26	$91.05	$152.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $53.85 / $103.99	Professional		$26.36	$53.85	$103.99
United Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $597.22 / $1,966.00	Facility		$260.89	$597.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $77.91 / $136.10	Professional		$57.13	$77.91	$136.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $61.40 / $120.00	Professional		$52.20	$61.40	$120.00