Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.58 / $2,234.00 / $6,066.00	Facility		$485.58	$2,234.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $344.67 / $1,176.00	Professional		$222.36	$344.67	$1,176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $483.04 / $724.76	Professional		$274.20	$483.04	$724.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $337.64 / $613.85	Professional		$154.28	$337.64	$613.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.57 / $441.94 / $1,314.20	Facility		$255.57	$441.94	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $446.26 / $1,259.59	Professional		$293.00	$446.26	$1,259.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.57 / $405.00 / $698.13	Facility		$302.57	$405.00	$698.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $452.78 / $759.89	Professional		$328.04	$452.78	$759.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $296.97 / $512.44	Professional		$161.47	$296.97	$512.44
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 $281.57 / $383.96 / $665.83	Professional		$281.57	$383.96	$665.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $355.70 / $588.00	Professional		$302.39	$355.70	$588.00