Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.45 / $2,253.00 / $6,066.00	Facility		$426.45	$2,253.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $261.22 / $817.00	Professional		$104.53	$261.22	$817.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.03 / $386.84 / $559.29	Professional		$215.03	$386.84	$559.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $261.18 / $436.90	Professional		$149.61	$261.18	$436.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.16 / $374.71 / $2,969.00	Facility		$209.16	$374.71	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $367.90 / $1,116.56	Professional		$213.16	$367.90	$1,116.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.49 / $336.69 / $488.89	Facility		$200.49	$336.69	$488.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $373.38 / $532.75	Professional		$281.02	$373.38	$532.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $257.56 / $365.10	Professional		$144.30	$257.56	$365.10
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 $174.75 / $275.93 / $501.27	Professional		$174.75	$275.93	$501.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $318.80 / $416.40	Professional		$270.89	$318.80	$416.40