Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $1,456.17 / $5,549.00	Facility		$151.77	$1,456.17	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $161.32 / $501.00	Professional		$74.28	$161.32	$501.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $223.64 / $309.69	Professional		$143.35	$223.64	$309.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $155.34 / $254.10	Professional		$61.47	$155.34	$254.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.13 / $208.45 / $1,151.00	Facility		$118.13	$208.45	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $223.64 / $852.00	Professional		$125.80	$223.64	$852.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $162.10 / $271.70	Facility		$96.06	$162.10	$271.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $188.44 / $290.52	Professional		$138.24	$188.44	$290.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $121.25 / $204.63	Professional		$65.20	$121.25	$204.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $198.17 / $313.16	Professional		$110.63	$198.17	$313.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $146.90 / $243.30	Professional		$124.80	$146.90	$243.30