Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $1,254.93 / $7,119.04	Facility		$191.51	$1,254.93	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $126.49 / $363.19	Professional		$65.23	$126.49	$363.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $241.00 / $385.65	Professional		$143.65	$241.00	$385.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $176.07 / $709.53	Professional		$70.09	$176.07	$709.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.90 / $241.00 / $1,970.00	Facility		$112.90	$241.00	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $241.00 / $1,227.00	Professional		$124.21	$241.00	$1,227.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.65 / $300.67 / $917.51	Facility		$143.65	$300.67	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $238.14 / $339.88	Professional		$143.65	$238.14	$339.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,416.88 / $3,416.88 / $3,416.88	Facility		$3,416.88	$3,416.88	$3,416.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $135.44 / $961.36	Professional		$69.44	$135.44	$961.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $184.53 / $351.60	Professional		$113.41	$184.53	$351.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $202.32 / $301.20	Professional		$133.50	$202.32	$301.20