Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $2,906.00 / $6,298.62	Facility		$244.45	$2,906.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $348.53 / $977.48	Professional		$86.61	$348.53	$977.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $834.42 / $1,043.02	Professional		$186.20	$834.42	$1,043.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $415.96 / $938.32	Professional		$77.30	$415.96	$938.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.63 / $808.48 / $2,969.00	Facility		$194.63	$808.48	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.58 / $971.83 / $1,650.76	Professional		$224.58	$971.83	$1,650.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.87 / $771.46 / $1,196.13	Facility		$203.87	$771.46	$1,196.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $771.46 / $1,154.77	Professional		$180.50	$771.46	$1,154.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $632.00 / $1,047.80	Professional		$3.00	$632.00	$1,047.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.35 / $947.79 / $1,392.58	Professional		$513.35	$947.79	$1,392.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $173.00 / $739.40	Professional		$147.00	$173.00	$739.40