Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $2,546.00 / $6,298.62	Facility		$389.42	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $271.89 / $795.00	Professional		$115.11	$271.89	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $395.39 / $453.98	Professional		$193.34	$395.39	$453.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $234.92 / $407.47	Professional		$136.61	$234.92	$407.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.02 / $343.65 / $4,033.83	Facility		$193.02	$343.65	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $337.80 / $1,017.12	Professional		$197.75	$337.80	$1,017.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.27 / $311.18 / $443.78	Facility		$182.27	$311.18	$443.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $344.83 / $485.41	Professional		$257.50	$344.83	$485.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $233.29 / $328.33	Professional		$131.74	$233.29	$328.33
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 $189.09 / $266.83 / $461.36	Professional		$189.09	$266.83	$461.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $289.50 / $376.00	Professional		$246.00	$289.50	$376.00