Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.37 / $2,546.00 / $6,446.00	Facility		$347.37	$2,546.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $99.05 / $331.41	Professional		$44.33	$99.05	$331.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.99 / $35.28 / $55.63	Professional	52	$21.99	$35.28	$55.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $159.31 / $221.58	Professional		$66.22	$159.31	$221.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $104.60 / $233.80	Professional		$27.72	$104.60	$233.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $166.00 / $1,151.00	Facility		$73.67	$166.00	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $170.59 / $663.12	Professional		$80.77	$170.59	$663.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $103.45 / $215.32	Facility		$70.97	$103.45	$215.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $143.13 / $215.32	Professional		$64.78	$143.13	$215.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $165.10 / $205.10	Professional		$3.00	$165.10	$205.10
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 $84.59 / $163.41 / $229.47	Professional		$84.59	$163.41	$229.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $67.20 / $171.40	Professional		$57.10	$67.20	$171.40