Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $2,511.89 / $6,760.83	Facility		$60.26	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $194.98	Professional		$39.81	$74.13	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $223.87	Professional		$95.50	$177.83	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $125.89 / $213.80	Professional		$51.29	$125.89	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $1,621.81	Facility		$93.33	$181.97	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $389.05	Professional		$83.18	$134.90	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $204.17	Professional		$95.50	$158.49	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $199.53	Professional		$79.43	$109.65	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $154.88 / $199.53	Professional		$3.02	$154.88	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,202.26 / $2,344.23	Facility		$281.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $186.21	Professional		$47.86	$95.50	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $169.82	Professional		$79.43	$93.33	$169.82