Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $2,511.89 / $6,760.83	Facility		$47.86	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $181.97	Professional		$36.31	$61.66	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $141.25	Professional		$89.13	$114.82	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $186.21	Professional		$42.66	$87.10	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $1,621.81	Facility		$57.54	$107.15	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $295.12	Professional		$58.88	$107.15	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $131.83	Professional		$87.10	$107.15	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $134.90	Professional		$79.43	$109.65	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $125.89	Professional		$93.33	$102.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $131.83	Professional		$47.86	$75.86	$131.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $112.20	Professional		$75.86	$89.13	$112.20