Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.62 / $1,413.64 / $5,549.00	Facility		$434.62	$1,413.64	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $334.64 / $997.00	Professional		$209.41	$334.64	$997.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.50 / $434.35 / $758.65	Professional		$254.50	$434.35	$758.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $281.05 / $533.84	Professional		$150.00	$281.05	$533.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.75 / $399.88 / $1,314.20	Facility		$228.75	$399.88	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.61 / $400.71 / $1,127.11	Professional		$249.61	$400.71	$1,127.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $374.00 / $647.66	Facility		$290.58	$374.00	$647.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $404.74 / $647.66	Professional		$293.42	$404.74	$647.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $271.20 / $473.85	Professional		$143.97	$271.20	$473.85
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 $233.20 / $315.31 / $573.25	Professional		$233.20	$315.31	$573.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $318.80 / $545.40	Professional		$270.89	$318.80	$545.40