Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.54 / $1,866.90 / $6,298.62	Facility		$561.54	$1,866.90	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $399.26 / $1,318.00	Professional		$199.39	$399.26	$1,318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.26 / $559.98 / $894.02	Professional		$301.26	$559.98	$894.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $371.96 / $637.57	Professional		$179.14	$371.96	$637.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.55 / $501.62 / $1,314.20	Facility		$295.55	$501.62	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.85 / $517.28 / $1,458.32	Professional		$311.85	$517.28	$1,458.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $459.08 / $765.85	Facility		$319.76	$459.08	$765.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.63 / $521.23 / $800.71	Professional		$379.63	$521.23	$800.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $342.97 / $563.33	Professional		$182.29	$342.97	$563.33
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 $311.85 / $425.25 / $703.42	Professional		$311.85	$425.25	$703.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $350.40 / $412.20 / $645.90	Professional		$350.40	$412.20	$645.90