Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.80 / $2,834.13 / $6,446.00	Facility		$744.80	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $394.17 / $1,296.00	Professional		$219.23	$394.17	$1,296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.38 / $569.72 / $909.60	Professional		$306.38	$569.72	$909.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $376.29 / $636.54	Professional		$182.60	$376.29	$636.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.41 / $519.66 / $1,314.20	Facility		$301.41	$519.66	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $527.29 / $1,484.72	Professional		$316.64	$527.29	$1,484.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $322.89 / $453.14 / $778.64	Facility		$322.89	$453.14	$778.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.32 / $532.03 / $812.91	Professional		$386.32	$532.03	$812.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $350.18 / $573.47	Professional		$188.38	$350.18	$573.47
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 $316.64 / $406.77 / $722.58	Professional		$316.64	$406.77	$722.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $419.90 / $657.00	Professional		$356.90	$419.90	$657.00