Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.78 / $2,218.00 / $6,298.62	Facility		$210.78	$2,218.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $170.25 / $499.15	Professional		$90.11	$170.25	$499.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $202.24 / $400.26	Professional		$157.38	$202.24	$400.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $194.75 / $502.69	Professional		$72.12	$194.75	$502.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.94 / $280.24 / $1,341.00	Facility		$110.94	$280.24	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $273.00 / $671.00	Professional		$157.16	$273.00	$671.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.57 / $310.05 / $391.61	Facility		$161.57	$310.05	$391.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $273.00 / $386.72	Professional		$161.57	$273.00	$386.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $147.26 / $280.29	Professional		$78.13	$147.26	$280.29
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 $150.30 / $209.55 / $392.91	Professional		$150.30	$209.55	$392.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $154.80 / $297.10	Professional		$131.60	$154.80	$297.10