Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.64 / $2,906.00 / $5,549.00	Facility		$437.64	$2,906.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $349.24 / $1,149.00	Professional		$165.62	$349.24	$1,149.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $425.58 / $660.29	Professional		$271.66	$425.58	$660.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $309.52 / $628.29	Professional		$150.00	$309.52	$628.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.34 / $468.06 / $1,623.00	Facility		$230.34	$468.06	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.91 / $429.14 / $1,134.08	Professional		$262.91	$429.14	$1,134.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $343.85 / $524.77 / $721.66	Facility		$343.85	$524.77	$721.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $304.52 / $447.41 / $628.38	Professional		$304.52	$447.41	$628.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $771.80 / $771.80 / $771.80	Facility		$771.80	$771.80	$771.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $244.31 / $328.64 / $644.16	Professional		$244.31	$328.64	$644.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $322.20 / $486.20	Professional		$273.89	$322.20	$486.20