Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $632.50 / $5,463.36	Facility		$111.96	$632.50	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $73.80 / $224.25	Professional		$36.96	$73.80	$224.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $102.26 / $149.97	Professional		$71.37	$102.26	$149.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $70.02 / $156.87	Professional		$36.32	$70.02	$156.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $99.63 / $836.00	Facility		$54.84	$99.63	$836.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $113.51 / $404.51	Professional		$59.45	$113.51	$404.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $98.00 / $133.31	Facility		$45.39	$98.00	$133.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $106.40 / $144.80	Professional		$76.29	$106.40	$144.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $59.46 / $95.50	Professional		$37.15	$59.46	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $84.30 / $157.02	Professional		$54.51	$84.30	$157.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $82.30 / $118.50	Professional		$70.00	$82.30	$118.50