Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $2,036.00 / $5,549.00	Facility		$292.95	$2,036.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $106.73 / $519.00	Professional		$39.06	$106.73	$519.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $212.33 / $280.48	Professional		$93.06	$212.33	$280.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $135.09 / $282.24	Professional		$39.51	$135.09	$282.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $193.38 / $2,142.52	Facility		$98.24	$193.38	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $220.06 / $743.68	Professional		$111.00	$220.06	$743.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.62 / $131.53 / $276.82	Facility		$94.62	$131.53	$276.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $184.86 / $286.64	Professional		$92.43	$184.86	$286.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $94.71 / $181.12	Professional		$41.38	$94.71	$181.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $215.02 / $334.32	Professional		$118.11	$215.02	$334.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $88.60 / $203.00	Professional		$75.30	$88.60	$203.00