Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $603.00 / $7,119.04	Facility		$222.39	$603.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $187.38 / $580.00	Professional		$100.38	$187.38	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $195.75 / $353.52	Professional		$119.15	$195.75	$353.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $150.19 / $252.09	Professional		$69.23	$150.19	$252.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $207.53 / $1,204.00	Facility		$117.05	$207.53	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $209.62 / $516.00	Professional		$142.06	$209.62	$516.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $175.59 / $303.00	Facility		$120.30	$175.59	$303.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $213.41 / $336.06	Professional		$151.38	$213.41	$336.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $125.68 / $222.39	Professional		$62.94	$125.68	$222.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $177.57 / $351.71	Professional		$128.63	$177.57	$351.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $157.00 / $276.30	Professional		$133.50	$157.00	$276.30