Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $5,011.87 / $7,943.28	Facility		$141.25	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $489.78	Professional		$83.18	$147.91	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $346.74	Professional		$208.93	$263.03	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $426.58	Professional		$87.10	$190.55	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $1,380.38	Facility		$144.54	$275.42	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $660.69	Professional		$134.90	$229.09	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $309.03	Professional		$194.98	$245.47	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $302.00	Professional		$158.49	$229.09	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $213.80 / $302.00	Professional		$3.02	$213.80	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $288.40	Professional		$97.72	$162.18	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $263.03	Professional		$169.82	$199.53	$263.03