Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.16 / $2,352.00 / $13,043.18	Facility		$617.16	$2,352.00	$13,043.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.93 / $339.49 / $854.48	Professional		$258.93	$339.49	$854.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.26 / $572.39 / $1,045.94	Professional		$352.26	$572.39	$1,045.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.17 / $402.99 / $680.91	Professional		$197.17	$402.99	$680.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.83 / $560.66 / $1,314.20	Facility		$324.83	$560.66	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $572.98 / $1,600.48	Professional		$356.93	$572.98	$1,600.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $502.05 / $895.87	Facility		$341.29	$502.05	$895.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.22 / $575.28 / $952.60	Professional		$416.22	$575.28	$952.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.99 / $379.88 / $659.16	Professional		$204.99	$379.88	$659.16
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 $356.93 / $504.09 / $833.17	Professional		$356.93	$504.09	$833.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $452.70 / $755.40	Professional		$384.80	$452.70	$755.40