Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $5,011.87 / $7,943.28	Facility		$102.33	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $575.44	Professional		$58.88	$147.91	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $426.58	Professional		$151.36	$323.59	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $338.84	Professional		$81.28	$218.78	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $346.74 / $4,897.79	Facility		$141.25	$346.74	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $549.54	Professional		$144.54	$239.88	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $371.54	Professional		$141.25	$281.84	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $398.11	Professional		$125.89	$165.96	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $302.00 / $398.11	Professional		$5.01	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $346.74	Professional		$70.79	$154.88	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $316.23	Professional		$123.03	$144.54	$316.23