Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.52 / $2,563.00 / $6,446.00	Facility		$710.52	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $332.68 / $1,070.00	Professional		$208.31	$332.68	$1,070.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $414.87 / $760.60	Professional		$255.63	$414.87	$760.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $311.39 / $553.21	Professional		$145.06	$311.39	$553.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.99 / $401.63 / $1,314.20	Facility		$218.99	$401.63	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $392.15 / $1,081.44	Professional		$261.45	$392.15	$1,081.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $358.96 / $649.65	Facility		$285.89	$358.96	$649.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $392.96 / $674.14	Professional		$291.27	$392.96	$674.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $269.02 / $477.83	Professional		$139.87	$269.02	$477.83
United Facility/Professional Facility Modifier Low / Median / High Price $524.60 / $1,026.06 / $1,966.00	Facility		$524.60	$1,026.06	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $356.54 / $585.99	Professional		$261.45	$356.54	$585.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $306.89 / $548.20	Professional		$260.89	$306.89	$548.20