Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $2,511.89 / $6,760.83	Facility		$87.10	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $831.76	Professional		$61.66	$169.82	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $389.05	Professional		$109.65	$169.82	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $162.18 / $398.11	Professional		$46.77	$162.18	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $288.40 / $478.63	Facility		$87.10	$288.40	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $575.44	Professional		$144.54	$245.47	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $416.87	Professional		$144.54	$323.59	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $100.00 / $275.42	Professional		$42.66	$100.00	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $660.69	Facility		$288.40	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $380.19	Professional		$75.86	$169.82	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $251.19	Professional		$75.86	$89.13	$251.19