Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $2,834.13 / $6,446.00	Facility		$150.63	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $83.17 / $132.10	Professional		$79.28	$83.17	$132.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $151.33 / $226.39	Professional		$124.66	$151.33	$226.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $90.59 / $213.56	Professional		$51.67	$90.59	$213.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $185.44 / $3,522.00	Facility		$119.30	$185.44	$3,522.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $151.00 / $1,794.00	Professional		$80.59	$151.00	$1,794.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $169.95 / $707.92	Facility		$117.66	$169.95	$707.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $136.82 / $174.14	Professional		$96.25	$136.82	$174.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $159.80 / $269.39	Professional		$5.00	$159.80	$269.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $110.68 / $207.14	Professional		$64.48	$110.68	$207.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $108.50 / $127.60	Professional		$108.50	$108.50	$127.60