Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $1,897.82 / $6,658.80	Facility		$135.19	$1,897.82	$6,658.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $135.03 / $438.01	Professional		$59.19	$135.03	$438.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $141.69 / $314.56	Professional		$102.65	$141.69	$314.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $143.31 / $234.74	Professional		$46.97	$143.31	$234.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.76 / $153.22 / $1,371.00	Facility		$98.76	$153.22	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $194.21 / $822.08	Professional		$99.97	$194.21	$822.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.05 / $158.66 / $295.83	Facility		$97.05	$158.66	$295.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $143.00 / $295.83	Professional		$97.05	$143.00	$295.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $125.40 / $197.21	Professional		$82.04	$125.40	$197.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $139.09 / $282.98	Professional		$99.97	$139.09	$282.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $112.00 / $241.10	Professional		$95.20	$112.00	$241.10