Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,834.13 / $6,446.00	Facility		$603.00	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $120.74 / $426.00	Professional		$68.84	$120.74	$426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $186.90 / $286.08	Professional		$99.27	$186.90	$286.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $125.64 / $228.62	Professional		$70.87	$125.64	$228.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.08 / $188.56 / $1,341.00	Facility		$107.08	$188.56	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $182.68 / $528.79	Professional		$108.78	$182.68	$528.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $194.19 / $273.02	Facility		$151.00	$194.19	$273.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $185.78 / $269.02	Professional		$137.90	$185.78	$269.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $112.31 / $180.00	Professional		$62.92	$112.31	$180.00
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 $100.47 / $137.01 / $247.73	Professional		$100.47	$137.01	$247.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $149.30 / $209.30	Professional		$126.90	$149.30	$209.30