Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $2,991.00 / $6,066.00	Facility		$157.93	$2,991.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $161.13 / $320.80	Professional		$101.06	$161.13	$320.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.51 / $257.01 / $407.51	Professional		$212.51	$257.01	$407.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $150.00 / $512.86	Professional		$101.94	$150.00	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $294.10 / $4,293.35	Facility		$138.00	$294.10	$4,293.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $257.01 / $606.09	Professional		$141.13	$257.01	$606.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $338.48 / $1,476.40	Facility		$179.32	$338.48	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $239.19 / $338.48	Professional		$179.32	$239.19	$338.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.10 / $283.10 / $283.10	Professional		$283.10	$283.10	$283.10
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 $132.80 / $228.02 / $360.33	Professional		$132.80	$228.02	$360.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $187.40 / $220.50	Professional		$187.40	$187.40	$220.50