Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $603.00 / $5,549.00	Facility		$154.66	$603.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $141.87 / $308.27	Professional		$35.65	$141.87	$308.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $150.33 / $512.26	Professional		$55.83	$150.33	$512.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $203.62 / $276.52	Professional		$34.03	$203.62	$276.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $258.02 / $520.99	Facility		$76.86	$258.02	$520.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $354.58 / $1,320.08	Professional		$97.28	$354.58	$1,320.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $289.00 / $449.13	Facility		$79.34	$289.00	$449.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $265.00 / $487.60	Professional		$79.34	$265.00	$487.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $154.66 / $312.25	Professional		$34.18	$154.66	$312.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.75 / $265.54 / $514.16	Professional		$173.75	$265.54	$514.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.60 / $392.60	Professional		$70.00	$85.60	$392.60