Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $2,160.00 / $4,788.76	Facility		$152.13	$2,160.00	$4,788.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $135.53 / $358.77	Professional		$46.89	$135.53	$358.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $193.30 / $461.62	Professional		$74.93	$193.30	$461.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $206.56 / $378.96	Professional		$46.08	$206.56	$378.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $266.74 / $482.69	Facility		$98.66	$266.74	$482.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $343.53 / $1,786.65	Professional		$149.13	$343.53	$1,786.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $248.98 / $407.85	Facility		$107.71	$248.98	$407.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $255.91 / $438.36	Professional		$107.71	$255.91	$438.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $140.72 / $286.17	Professional		$45.05	$140.72	$286.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $278.17 / $469.35	Professional		$158.60	$278.17	$469.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $116.20 / $356.40	Professional		$95.00	$116.20	$356.40