Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.50 / $2,912.34 / $6,298.62	Facility		$962.50	$2,912.34	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $231.88 / $820.00	Professional		$132.84	$231.88	$820.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $378.76 / $559.98	Professional		$208.44	$378.76	$559.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $253.39 / $440.37	Professional		$146.96	$253.39	$440.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.93 / $369.71 / $2,969.00	Facility		$206.93	$369.71	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $364.52 / $1,098.96	Professional		$213.38	$364.52	$1,098.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.42 / $331.56 / $478.19	Facility		$198.42	$331.56	$478.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $369.71 / $519.10	Professional		$281.02	$369.71	$519.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $250.60 / $354.13	Professional		$140.38	$250.60	$354.13
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 $197.45 / $269.25 / $481.38	Professional		$197.45	$269.25	$481.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $311.80 / $405.20	Professional		$265.00	$311.80	$405.20