Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.90 / $2,834.13 / $6,446.00	Facility		$612.90	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $244.07 / $842.00	Professional		$139.52	$244.07	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $463.56 / $652.50	Professional		$239.25	$463.56	$652.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $295.20 / $505.52	Professional		$150.00	$295.20	$505.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $420.04 / $1,341.00	Facility		$244.07	$420.04	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $413.76 / $1,204.00	Professional		$249.00	$413.76	$1,204.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $374.91 / $605.89	Facility		$251.53	$374.91	$605.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $422.01 / $652.50	Professional		$313.68	$422.01	$652.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $281.37 / $446.41	Professional		$147.35	$281.37	$446.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $349.58 / $607.24	Professional		$256.36	$349.58	$607.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.70 / $339.70 / $512.70	Professional		$288.70	$339.70	$512.70