Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.28 / $836.21 / $5,549.00	Facility		$206.28	$836.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $161.68 / $653.00	Professional		$83.95	$161.68	$653.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $194.78 / $374.94	Professional		$155.74	$194.78	$374.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $182.39 / $457.07	Professional		$71.06	$182.39	$457.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $254.36 / $1,341.00	Facility		$108.57	$254.36	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $249.78 / $619.00	Professional		$145.09	$249.78	$619.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $289.26 / $365.09	Facility		$159.38	$289.26	$365.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $250.03 / $356.70	Professional		$159.38	$250.03	$356.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $143.94 / $261.48	Professional		$76.93	$143.94	$261.48
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 $133.00 / $193.46 / $355.63	Professional		$133.00	$193.46	$355.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $152.80 / $278.30	Professional		$129.80	$152.80	$278.30