Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,906.00 / $6,066.00	Facility		$603.00	$2,906.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $322.20 / $573.00	Professional		$110.08	$322.20	$573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $344.46 / $744.04	Professional		$218.93	$344.46	$744.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $304.33 / $857.13	Professional		$91.31	$304.33	$857.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $521.76 / $2,969.00	Facility		$229.16	$521.76	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $621.08 / $985.09	Professional		$263.02	$621.08	$985.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $238.45 / $480.64 / $783.89	Facility		$238.45	$480.64	$783.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.26 / $480.64 / $728.56	Professional		$213.26	$480.64	$728.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $367.30 / $703.00	Professional		$3.00	$367.30	$703.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $5,454.00	Facility		$1,611.00	$3,902.18	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $528.92 / $835.83	Professional		$308.11	$528.92	$835.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $204.40 / $532.90	Professional		$173.70	$204.40	$532.90