Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $5,011.87 / $7,943.28	Facility		$87.10	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $275.42	Professional		$57.54	$109.65	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $323.59	Professional		$141.25	$177.83	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $239.88	Professional		$63.10	$173.78	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $1,621.81	Facility		$120.23	$257.04	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $446.68	Professional		$123.03	$194.98	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $302.00	Professional		$131.83	$213.80	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $302.00	Professional		$117.49	$158.49	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $245.47 / $302.00	Professional		$5.01	$245.47	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,344.23	Facility		$1,000.00	$1,584.89	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $281.84	Professional		$66.07	$131.83	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $239.88	Professional		$112.20	$131.83	$239.88