Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.91 / $2,912.34 / $6,446.00	Facility		$948.91	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $285.58 / $526.22	Professional		$42.22	$285.58	$526.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $486.92 / $851.09	Professional		$92.71	$486.92	$851.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $334.53 / $651.10	Professional		$38.65	$334.53	$651.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $599.92 / $1,371.00	Facility		$90.25	$599.92	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $816.33 / $1,381.38	Professional		$112.89	$816.33	$1,381.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $625.91 / $973.63	Facility		$101.68	$625.91	$973.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $625.91 / $973.63	Professional		$90.25	$625.91	$973.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $533.70 / $872.50	Professional		$533.70	$533.70	$872.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $813.24 / $1,242.83	Professional		$436.76	$813.24	$1,242.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $86.50 / $599.90	Professional		$73.50	$86.50	$599.90