Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.81 / $340.86 / $6,298.62	Facility		$136.81	$340.86	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $72.01 / $241.43	Professional		$39.51	$72.01	$241.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $113.94 / $173.35	Professional		$49.16	$113.94	$173.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $70.98 / $150.00	Professional		$38.69	$70.98	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $135.88 / $1,371.00	Facility		$83.30	$135.88	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $114.74 / $715.03	Professional		$67.75	$114.74	$715.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $110.79 / $162.13	Facility		$88.79	$110.79	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $110.79 / $171.54	Professional		$83.00	$110.79	$171.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $70.01 / $111.58	Professional		$39.86	$70.01	$111.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $90.34 / $166.04	Professional		$62.11	$90.34	$166.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $90.50 / $134.19	Professional		$76.90	$90.50	$134.19