Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,238.72 / $6,025.60	Facility		$63.10	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $269.15	Professional		$43.65	$100.00	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $190.55	Professional		$72.44	$117.49	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $190.55	Professional		$41.69	$83.18	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $1,023.29	Facility		$60.26	$114.82	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $354.81	Professional		$64.57	$117.49	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $173.78	Professional		$95.50	$128.82	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $173.78	Professional		$79.43	$112.20	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $141.25	Professional		$38.90	$72.44	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,344.23	Facility		$660.69	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $147.91	Professional		$43.65	$74.13	$147.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $147.91	Professional		$79.43	$93.33	$147.91