Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $338.84 / $6,760.83	Facility		$72.44	$338.84	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $194.98	Professional		$41.69	$72.44	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $177.83	Professional		$48.98	$102.33	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $190.55	Professional		$37.15	$70.79	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $151.36 / $1,380.38	Facility		$83.18	$151.36	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $707.95	Professional		$67.61	$123.03	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $162.18	Professional		$91.20	$109.65	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $138.04	Professional		$39.81	$74.13	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,344.23	Facility		$831.76	$1,380.38	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $141.25	Professional		$47.86	$75.86	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $134.90	Professional		$77.62	$91.20	$134.90