Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $791.75 / $6,093.56	Facility		$70.22	$791.75	$6,093.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $66.25 / $234.05	Professional		$31.26	$66.25	$234.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $100.09 / $126.60	Professional		$55.32	$100.09	$126.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $68.03 / $187.99	Professional		$23.34	$68.03	$187.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $118.90 / $1,204.00	Facility		$57.71	$118.90	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $105.38 / $427.97	Professional		$54.59	$105.38	$427.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $96.08 / $134.87	Facility		$55.56	$96.08	$134.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $93.45 / $134.87	Professional		$54.59	$93.45	$134.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $101.00 / $121.70	Professional		$3.00	$101.00	$121.70
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 $50.62 / $102.08 / $139.88	Professional		$50.62	$102.08	$139.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $56.60 / $99.70	Professional		$48.10	$56.60	$99.70