Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.29 / $2,906.00 / $6,066.00	Facility		$587.29	$2,906.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.47 / $425.64 / $1,233.34	Professional		$244.47	$425.64	$1,233.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.73 / $583.35 / $963.16	Professional		$324.73	$583.35	$963.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $387.64 / $657.18	Professional		$187.87	$387.64	$657.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.11 / $523.54 / $1,341.00	Facility		$309.11	$523.54	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $536.72 / $1,525.12	Professional		$335.81	$536.72	$1,525.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $474.65 / $903.15	Facility		$341.29	$474.65	$903.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $547.65 / $825.60	Professional		$396.37	$547.65	$825.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.98 / $361.66 / $608.90	Professional		$196.98	$361.66	$608.90
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 $310.11 / $408.13 / $749.75	Professional		$310.11	$408.13	$749.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $367.00 / $431.80 / $696.80	Professional		$367.00	$431.80	$696.80