Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $2,570.40 / $6,760.83	Facility		$51.29	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $75.86	Professional		$51.29	$51.29	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $446.68	Professional		$281.84	$354.81	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $323.59	Professional		$38.90	$64.57	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $977.24 / $1,949.84	Facility		$89.13	$977.24	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $281.84 / $346.74	Professional		$77.62	$281.84	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $281.84	Professional		$104.71	$281.84	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $104.71	Professional		$77.62	$77.62	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $239.88	Professional		$177.83	$199.53	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $93.33	Professional		$61.66	$79.43	$93.33