Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,511.89 / $6,760.83	Facility		$131.83	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $338.84	Professional		$87.10	$138.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $389.05	Professional		$186.21	$302.00	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $446.68	Professional		$91.20	$190.55	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $1,905.46	Facility		$169.82	$309.03	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $524.81	Professional		$177.83	$275.42	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $363.08	Professional		$208.93	$263.03	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Professional		$234.42	$234.42	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $302.00	Professional		$91.20	$162.18	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $426.58	Professional		$102.33	$199.53	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $323.59	Professional		$173.78	$204.17	$323.59