Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.01 / $2,352.00 / $6,298.62	Facility		$600.01	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $315.80 / $1,259.00	Professional		$191.33	$315.80	$1,259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $593.09 / $851.17	Professional		$296.64	$593.09	$851.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $366.49 / $634.48	Professional		$191.56	$366.49	$634.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.80 / $524.84 / $4,033.83	Facility		$315.80	$524.84	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $529.17 / $1,552.64	Professional		$328.00	$529.17	$1,552.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.17 / $485.88 / $731.38	Facility		$280.17	$485.88	$731.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.62 / $545.70 / $788.93	Professional		$403.62	$545.70	$788.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.16 / $353.45 / $542.29	Professional		$195.16	$353.45	$542.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $5,454.00	Facility		$1,611.00	$3,902.18	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.77 / $450.86 / $728.83	Professional		$310.77	$450.86	$728.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $439.40 / $620.10	Professional		$373.50	$439.40	$620.10