Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.77 / $2,301.00 / $5,549.00	Facility		$331.77	$2,301.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $260.05 / $761.00	Professional		$110.52	$260.05	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $329.90 / $498.62	Professional		$167.84	$329.90	$498.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $206.80 / $378.98	Professional		$115.59	$206.80	$378.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.62 / $295.11 / $2,969.00	Facility		$174.62	$295.11	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $301.58 / $864.88	Professional		$184.59	$301.58	$864.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $263.02 / $424.95	Facility		$183.83	$263.02	$424.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.35 / $321.27 / $463.56	Professional		$226.35	$321.27	$463.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $201.90 / $313.79	Professional		$110.40	$201.90	$313.79
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 $153.32 / $239.49 / $412.76	Professional		$153.32	$239.49	$412.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $244.80 / $359.90	Professional		$208.10	$244.80	$359.90