Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.05 / $5,549.00 / $11,100.08	Facility		$334.05	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $88.37 / $308.26	Professional		$53.25	$88.37	$308.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $132.91 / $196.72	Professional		$58.97	$132.91	$196.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $81.37 / $164.76	Professional		$47.75	$81.37	$164.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $159.31 / $1,371.00	Facility		$107.71	$159.31	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $133.01 / $377.44	Professional		$78.14	$133.01	$377.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $147.02 / $180.15	Facility		$107.71	$147.02	$180.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $133.01 / $180.15	Professional		$105.12	$133.01	$180.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $78.08 / $120.84	Professional		$43.74	$78.08	$120.84
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 $71.63 / $104.19 / $192.49	Professional		$71.63	$104.19	$192.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $109.80 / $149.80	Professional		$93.30	$109.80	$149.80