Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $2,511.89 / $6,760.83	Facility		$77.62	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $199.53	Professional		$52.48	$83.18	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $251.19	Professional		$120.23	$190.55	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $239.88	Professional		$67.61	$144.54	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $1,621.81	Facility		$117.49	$199.53	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $398.11	Professional		$97.72	$158.49	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $229.09	Professional		$117.49	$186.21	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $229.09	Professional		$100.00	$141.25	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $173.78 / $218.78	Professional		$3.02	$173.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $2,344.23	Facility		$288.40	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $218.78	Professional		$61.66	$117.49	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $194.98	Professional		$102.33	$120.23	$194.98