Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.57 / $2,301.00 / $6,298.62	Facility		$109.57	$2,301.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $154.26 / $200.32	Professional		$57.67	$154.26	$200.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $219.28 / $332.09	Professional		$81.03	$219.28	$332.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $155.03 / $289.02	Professional		$35.51	$155.03	$289.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.46 / $280.70 / $1,607.00	Facility		$97.46	$280.70	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $262.00 / $500.31	Professional		$102.09	$262.00	$500.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.13 / $164.96 / $311.06	Facility		$87.13	$164.96	$311.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $239.40 / $313.07	Professional		$82.98	$239.40	$313.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $110.11 / $212.29	Professional		$38.47	$110.11	$212.29
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 $122.06 / $246.16 / $346.42	Professional		$122.06	$246.16	$346.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $89.50 / $271.60	Professional		$76.09	$89.50	$271.60