Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.87 / $2,912.34 / $6,446.00	Facility		$497.87	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $190.91 / $699.00	Professional		$81.06	$190.91	$699.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $253.21 / $398.73	Professional		$145.25	$253.21	$398.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $172.24 / $291.95	Professional		$88.08	$172.24	$291.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $247.33 / $1,341.00	Facility		$131.33	$247.33	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $241.14 / $653.52	Professional		$151.11	$241.14	$653.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $261.75 / $398.73	Facility		$193.59	$261.75	$398.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $247.74 / $387.22	Professional		$172.00	$247.74	$387.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $150.26 / $268.20	Professional		$80.06	$150.26	$268.20
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 $151.11 / $208.63 / $404.22	Professional		$151.11	$208.63	$404.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $185.50 / $311.10	Professional		$157.69	$185.50	$311.10