Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.20 / $3,259.25 / $10,193.69	Facility		$610.20	$3,259.25	$10,193.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.45 / $937.00 / $5,475.00	Professional		$230.45	$937.00	$5,475.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $469.02 / $586.27	Professional		$314.58	$469.02	$586.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $301.70 / $640.54	Professional		$198.01	$301.70	$640.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.77 / $467.98 / $1,640.00	Facility		$255.77	$467.98	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.50 / $419.51 / $738.89	Professional		$239.50	$419.51	$738.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $482.97 / $661.14	Facility		$294.00	$482.97	$661.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $467.98 / $648.59	Professional		$321.17	$467.98	$648.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $342.20 / $425.17	Professional		$201.63	$342.20	$425.17
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 $229.09 / $333.22 / $576.26	Professional		$229.09	$333.22	$576.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $381.20 / $448.50	Professional		$301.14	$381.20	$448.50