Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $5,011.87 / $7,943.28	Facility		$57.54	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $199.53	Professional		$41.69	$75.86	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $239.88	Professional		$107.15	$190.55	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $234.42	Professional		$61.66	$131.83	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $190.55 / $1,380.38	Facility		$89.13	$190.55	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $354.81	Professional		$89.13	$144.54	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $223.87	Professional		$109.65	$173.78	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $218.78	Professional		$89.13	$128.82	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $213.80	Professional		$114.82	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $2,344.23	Facility		$562.34	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $194.98	Professional		$56.23	$104.71	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $181.97	Professional		$91.20	$107.15	$181.97