Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.54 / $603.00 / $6,066.00	Facility		$284.54	$603.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $217.32 / $596.65	Professional		$134.15	$217.32	$596.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $283.39 / $484.99	Professional		$168.64	$283.39	$484.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $208.82 / $322.32	Professional		$98.45	$208.82	$322.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $281.39 / $1,314.20	Facility		$149.76	$281.39	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $293.35 / $735.28	Professional		$178.98	$293.35	$735.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $244.05 / $422.44	Facility		$180.71	$244.05	$422.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $300.57 / $434.83	Professional		$216.88	$300.57	$434.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $172.43 / $301.36	Professional		$89.50	$172.43	$301.36
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 $156.61 / $227.28 / $445.03	Professional		$156.61	$227.28	$445.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $207.90 / $348.80	Professional		$176.70	$207.90	$348.80