Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $61.18 / $61.18	Professional		$41.51	$61.18	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $108.10 / $113.91	Professional		$86.48	$108.10	$113.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $72.42 / $116.51	Professional		$38.65	$72.42	$116.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $103.39 / $5,847.00	Facility		$73.00	$103.39	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $94.60 / $298.00	Professional		$49.74	$94.60	$298.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.63 / $92.43 / $119.55	Facility		$62.63	$92.43	$119.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $90.97 / $119.55	Professional		$67.00	$90.97	$119.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $82.80 / $102.30	Professional		$75.70	$82.80	$102.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $80.53 / $127.25	Professional		$44.95	$80.53	$127.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $92.70	Professional		$78.80	$78.80	$92.70