Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,818.38 / $5,370.32	Facility		$204.17	$2,818.38	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $645.65 / $2,290.87	Professional		$125.89	$645.65	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,348.96 / $1,862.09	Professional		$302.00	$1,348.96	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $691.83 / $1,258.93	Professional		$125.89	$691.83	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,288.25 / $3,235.94	Facility		$275.42	$1,288.25	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,122.02 / $2,344.23	Professional		$354.81	$1,122.02	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,348.96 / $1,737.80	Professional		$288.40	$1,348.96	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $1,258.93	Professional		$128.82	$302.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $549.54 / $1,412.54	Professional		$162.18	$549.54	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $1,288.25	Professional		$234.42	$275.42	$1,288.25