Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $2,912.34 / $7,119.04	Facility		$378.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $115.23 / $323.89	Professional		$61.45	$115.23	$323.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $181.53 / $269.00	Professional		$99.92	$181.53	$269.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $110.10 / $274.95	Professional		$42.77	$110.10	$274.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $197.04 / $1,685.32	Facility		$72.78	$197.04	$1,685.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $192.33 / $1,017.00	Professional		$82.81	$192.33	$1,017.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $132.44 / $252.36	Facility		$83.21	$132.44	$252.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $190.87 / $321.45	Professional		$106.91	$190.87	$321.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $81.31 / $142.76	Professional		$42.75	$81.31	$142.76
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 $72.45 / $132.00 / $242.39	Professional		$72.45	$132.00	$242.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $120.63 / $179.70	Professional		$84.10	$120.63	$179.70