Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,388.44 / $6,456.54	Facility		$186.21	$3,388.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $323.59	Professional		$85.11	$141.25	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $446.68	Professional		$213.80	$275.42	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $371.54	Professional		$95.50	$199.53	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $12,022.64	Facility		$141.25	$309.03	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $707.95	Professional		$131.83	$223.87	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $380.19	Professional		$177.83	$245.47	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $389.05	Professional		$154.88	$251.19	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $194.98 / $426.58	Professional		$3.98	$194.98	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $13,182.57	Facility		$5,495.41	$8,511.38	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $288.40	Professional		$97.72	$158.49	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $338.84	Professional		$177.83	$213.80	$338.84