Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,570.40 / $6,760.83	Facility		$91.20	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $165.96 / $363.08	Professional		$67.61	$165.96	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $208.93	Professional		$165.96	$186.21	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $549.54	Professional		$74.13	$134.90	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $6,606.93	Facility		$109.65	$190.55	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $1,995.26	Professional		$89.13	$151.36	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $288.40	Professional		$162.18	$186.21	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $204.17	Professional		$151.36	$204.17	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $165.96 / $186.21	Professional		$66.07	$165.96	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $239.88	Professional		$81.28	$123.03	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $165.96	Professional		$141.25	$141.25	$165.96