Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,290.87 / $6,456.54	Facility		$97.72	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $162.18 / $467.74	Professional		$44.67	$162.18	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $380.19 / $549.54	Professional		$112.20	$380.19	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $269.15 / $645.65	Professional		$48.98	$269.15	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $354.81 / $1,621.81	Facility		$107.15	$354.81	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $363.08 / $707.95	Professional		$131.83	$363.08	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $380.19 / $524.81	Professional		$107.15	$380.19	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $562.34	Professional		$131.83	$134.90	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $537.03	Professional		$302.00	$302.00	$537.03
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 $60.26 / $181.97 / $501.19	Professional		$60.26	$181.97	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $380.19	Professional		$87.10	$102.33	$380.19