Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $2,218.00 / $6,298.62	Facility		$123.44	$2,218.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $100.65 / $338.00	Professional		$44.63	$100.65	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $195.07 / $296.06	Professional		$102.27	$195.07	$296.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $131.83 / $223.87	Professional		$62.49	$131.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.27 / $160.12 / $1,151.00	Facility		$102.27	$160.12	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $177.26 / $765.52	Professional		$98.68	$177.26	$765.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $136.60 / $240.04	Facility		$99.15	$136.60	$240.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $139.41 / $270.47	Professional		$92.88	$139.41	$270.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $134.40 / $285.39	Professional		$3.00	$134.40	$285.39
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 $95.21 / $151.32 / $269.51	Professional		$95.21	$151.32	$269.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $149.80 / $295.20	Professional		$127.30	$149.80	$295.20