Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,570.40 / $6,456.54	Facility		$309.03	$2,570.40	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $426.58	Professional		$87.10	$125.89	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $281.84	Professional		$223.87	$239.88	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $371.54	Professional		$93.33	$169.82	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,318.26 / $5,370.32	Facility		$181.97	$1,318.26	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $1,513.56	Professional		$109.65	$199.53	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $346.74	Professional		$208.93	$234.42	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $251.19	Professional		$199.53	$239.88	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $208.93 / $251.19	Professional		$3.98	$208.93	$251.19
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 $100.00 / $154.88 / $288.40	Professional		$100.00	$154.88	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Professional		$181.97	$181.97	$213.80