Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $2,234.00 / $6,298.62	Facility		$98.11	$2,234.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $127.68 / $229.82	Professional		$28.76	$127.68	$229.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $147.05 / $394.42	Professional		$45.46	$147.05	$394.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $156.68 / $285.89	Professional		$27.77	$156.68	$285.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $247.86 / $588.24	Facility		$64.78	$247.86	$588.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $332.85 / $820.02	Professional		$144.46	$332.85	$820.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.25 / $247.86 / $368.50	Facility		$73.25	$247.86	$368.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $291.13 / $418.48	Professional		$64.78	$291.13	$418.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $121.82 / $260.55	Professional		$28.47	$121.82	$260.55
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 $156.63 / $249.19 / $466.39	Professional		$156.63	$249.19	$466.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $69.90 / $302.00	Professional		$57.10	$69.90	$302.00