Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.97 / $1,504.15 / $6,298.62	Facility		$174.97	$1,504.15	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $114.39 / $451.65	Professional		$47.30	$114.39	$451.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $121.77 / $256.13	Professional		$56.03	$121.77	$256.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $124.59 / $337.94	Professional		$41.34	$124.59	$337.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $188.87 / $501.93	Facility		$63.88	$188.87	$501.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $194.33 / $1,797.00	Professional		$95.11	$194.33	$1,797.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $127.70 / $260.43	Facility		$90.77	$127.70	$260.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $174.05 / $244.24	Professional		$103.42	$174.05	$244.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $200.90 / $297.80	Professional		$3.00	$200.90	$297.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $2,126.00	Facility		$1,026.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $163.28 / $258.02	Professional		$87.19	$163.28	$258.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $102.90 / $201.60	Professional		$84.10	$102.90	$201.60