Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.18 / $448.79 / $5,549.00	Facility		$103.18	$448.79	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $148.26 / $392.00	Professional		$66.27	$148.26	$392.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.79 / $53.02 / $210.41	Professional	52	$50.79	$53.02	$210.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $202.57 / $334.04	Professional		$110.89	$202.57	$334.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $134.16 / $238.63	Professional		$62.14	$134.16	$238.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $176.65 / $1,341.00	Facility		$101.57	$176.65	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $183.50 / $514.64	Professional		$115.19	$183.50	$514.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $201.67 / $297.20	Facility		$152.10	$201.67	$297.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $201.67 / $297.62	Professional		$130.21	$201.67	$297.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $115.52 / $203.63	Professional		$64.56	$115.52	$203.63
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 $111.58 / $148.72 / $269.31	Professional		$111.58	$148.72	$269.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $145.80 / $237.20	Professional		$123.90	$145.80	$237.20