Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $2,511.89 / $6,760.83	Facility		$57.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $120.23 / $257.04	Professional		$42.66	$120.23	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $251.19 / $338.84	Professional		$83.18	$251.19	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $154.88 / $288.40	Professional		$37.15	$154.88	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $295.12 / $1,621.81	Facility		$97.72	$295.12	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $436.52	Professional		$100.00	$239.88	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $281.84 / $316.23	Professional		$91.20	$281.84	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $309.03	Professional		$102.33	$162.18	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $245.47	Professional		$38.02	$91.20	$245.47
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
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $123.03 / $331.13	Professional		$43.65	$123.03	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $269.15	Professional		$75.86	$89.13	$269.15