Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $876.07 / $5,463.36	Facility		$527.00	$876.07	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $396.39 / $1,355.00	Professional		$196.83	$396.39	$1,355.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.86 / $547.32 / $881.36	Professional		$295.86	$547.32	$881.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $363.65 / $668.53	Professional		$173.48	$363.65	$668.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.74 / $501.37 / $1,314.20	Facility		$286.74	$501.37	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.42 / $532.82 / $1,418.08	Professional		$313.42	$532.82	$1,418.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $327.06 / $450.00 / $749.93	Facility		$327.06	$450.00	$749.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $369.48 / $506.82 / $825.10	Professional		$369.48	$506.82	$825.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $331.21 / $551.24	Professional		$177.19	$331.21	$551.24
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 $313.42 / $427.40 / $741.18	Professional		$313.42	$427.40	$741.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $401.10 / $634.00	Professional		$340.90	$401.10	$634.00