Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,238.72 / $6,025.60	Facility		$120.23	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $512.86	Professional		$77.62	$181.97	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $549.54	Professional		$120.23	$269.15	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $281.84 / $645.65	Professional		$83.18	$281.84	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $371.54 / $1,202.26	Facility		$147.91	$371.54	$1,202.26
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,548.82	Professional		$204.17	$426.58	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $501.19	Professional		$204.17	$407.38	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $501.19	Professional		$158.49	$371.54	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $371.54	Professional		$75.86	$169.82	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $223.87 / $524.81	Professional		$100.00	$223.87	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $416.87	Professional		$158.49	$194.98	$416.87