Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $2,511.89 / $6,760.83	Facility		$74.13	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $144.54 / $295.12	Professional		$46.77	$144.54	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $446.68	Professional		$114.82	$144.54	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $218.78 / $346.74	Professional		$50.12	$218.78	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $4,677.35	Facility		$114.82	$316.23	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $575.44	Professional		$128.82	$245.47	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $416.87	Professional		$109.65	$257.04	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $416.87	Professional		$100.00	$138.04	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $257.04 / $426.58	Professional		$3.98	$257.04	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $6,309.57	Facility		$1,584.89	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $346.74	Professional		$60.26	$154.88	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $338.84	Professional		$97.72	$114.82	$338.84