Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,398.83 / $6,760.83	Facility		$151.36	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $316.23	Professional		$56.23	$128.82	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $380.19	Professional		$144.54	$275.42	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $323.59	Professional		$75.86	$204.17	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $8,912.51	Facility		$134.90	$316.23	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $407.38	Professional		$138.04	$208.93	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $346.74	Professional		$134.90	$194.98	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $354.81	Professional		$123.03	$162.18	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $275.42 / $346.74	Professional		$3.98	$275.42	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $323.59	Professional		$69.18	$144.54	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $281.84	Professional		$117.49	$138.04	$281.84