Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.01 / $2,977.00 / $7,119.04	Facility		$323.01	$2,977.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $176.49 / $504.00	Professional		$77.88	$176.49	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $263.91 / $370.07	Professional		$152.10	$263.91	$370.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $176.91 / $319.82	Professional		$63.20	$176.91	$319.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $254.01 / $1,151.00	Facility		$152.91	$254.01	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $264.52 / $955.92	Professional		$147.38	$264.52	$955.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $183.38 / $327.22	Facility		$142.69	$183.38	$327.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $215.03 / $342.43	Professional		$149.22	$215.03	$342.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $215.90 / $346.20	Professional		$6.00	$215.90	$346.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $257.43 / $375.34	Professional		$130.12	$257.43	$375.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $151.50 / $277.70	Professional		$128.80	$151.50	$277.70