Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $109.72 / $315.02	Professional		$45.43	$109.72	$315.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $205.97 / $274.63	Professional		$103.58	$205.97	$274.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $130.50 / $234.60	Professional		$42.46	$130.50	$234.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $205.00 / $1,151.00	Facility		$109.07	$205.00	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $208.08 / $711.04	Professional		$110.98	$208.08	$711.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $141.82 / $258.85	Facility		$100.44	$141.82	$258.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $166.82 / $258.85	Professional		$100.44	$166.82	$258.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $191.00 / $257.70	Professional		$5.00	$191.00	$257.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $198.70 / $301.05	Professional		$106.35	$198.70	$301.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $102.40 / $209.90	Professional		$87.00	$102.40	$209.90