Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $331.13 / $1,479.11	Facility		$109.65	$331.13	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $933.25	Professional		$79.43	$177.83	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $436.52	Professional		$85.11	$204.17	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $234.42 / $954.99	Professional		$75.86	$234.42	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $234.42 / $616.60	Facility		$95.50	$234.42	$616.60
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	52	$309.03	$309.03	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $1,819.70	Professional		$173.78	$354.81	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $501.19	Professional		$177.83	$380.19	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $562.34	Professional		$151.36	$354.81	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $346.74	Professional		$70.79	$158.49	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $1,071.52	Facility		$478.63	$851.14	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $389.05	Professional		$85.11	$177.83	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $354.81	Professional		$144.54	$177.83	$354.81