Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,019.95 / $6,456.54	Facility		$104.71	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $125.89 / $309.03	Professional		$52.48	$125.89	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $323.59	Professional		$112.20	$204.17	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $776.25	Professional		$56.23	$141.25	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $181.97 / $1,380.38	Facility		$89.13	$181.97	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $416.87	Professional		$112.20	$223.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $295.12	Professional		$131.83	$239.88	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $467.74	Professional		$138.04	$239.88	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $257.04	Professional		$51.29	$117.49	$257.04
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 $63.10 / $125.89 / $295.12	Professional		$63.10	$125.89	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $245.47	Professional		$100.00	$165.96	$245.47