Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.70 / $2,563.00 / $6,446.00	Facility		$715.70	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $379.81 / $822.00	Professional		$121.75	$379.81	$822.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.43 / $300.93 / $680.96	Professional		$197.43	$300.93	$680.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $260.93 / $429.10	Professional		$95.58	$260.93	$429.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $326.14 / $2,314.36	Facility		$157.00	$326.14	$2,314.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $314.98 / $947.13	Professional		$192.86	$314.98	$947.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.36 / $330.64 / $577.42	Facility		$234.36	$330.64	$577.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.29 / $322.23 / $613.61	Professional		$201.29	$322.23	$613.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $246.55 / $461.89	Professional		$107.28	$246.55	$461.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $282.20 / $512.94	Professional		$206.70	$282.20	$512.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $222.50 / $514.10	Professional		$189.10	$222.50	$514.10