Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,511.89 / $6,760.83	Facility		$75.86	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $158.49 / $776.25	Professional		$44.67	$158.49	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $501.19	Professional		$112.20	$138.04	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $245.47 / $562.34	Professional		$48.98	$245.47	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $316.23 / $1,621.81	Facility		$91.20	$316.23	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $630.96	Professional		$131.83	$302.00	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $316.23 / $467.74	Professional		$104.71	$316.23	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $467.74	Professional		$131.83	$131.83	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $467.74	Professional		$245.47	$245.47	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $165.96 / $426.58	Professional		$58.88	$165.96	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $354.81	Professional		$85.11	$100.00	$354.81