Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.71 / $2,563.00 / $6,298.62	Facility		$512.71	$2,563.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $269.85 / $656.98	Professional		$132.32	$269.85	$656.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $500.72 / $658.34	Professional		$256.17	$500.72	$658.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $302.26 / $531.58	Professional		$164.30	$302.26	$531.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.24 / $449.17 / $4,033.83	Facility		$247.24	$449.17	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $439.62 / $1,337.20	Professional		$256.08	$439.62	$1,337.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $406.59 / $563.80	Facility		$219.25	$406.59	$563.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $448.15 / $614.73	Professional		$336.26	$448.15	$614.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $290.37 / $420.46	Professional		$172.44	$290.37	$420.46
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 $234.75 / $302.61 / $584.86	Professional		$234.75	$302.61	$584.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $380.10 / $479.90	Professional		$322.24	$380.10	$479.90