Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.06 / $2,352.00 / $6,298.62	Facility		$435.06	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $341.18 / $620.16	Professional		$138.54	$341.18	$620.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.68 / $438.96 / $1,022.57	Professional		$321.68	$438.96	$1,022.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.87 / $461.76 / $939.55	Professional		$135.87	$461.76	$939.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $659.47 / $3,416.04	Facility		$233.36	$659.47	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.10 / $736.68 / $2,792.57	Professional		$363.10	$736.68	$2,792.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $334.11 / $850.65 / $1,311.70	Facility		$334.11	$850.65	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.68 / $659.47 / $971.52	Professional		$321.68	$659.47	$971.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $339.23 / $1,459.54	Professional		$143.84	$339.23	$1,459.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.10 / $553.29 / $1,039.13	Professional		$363.10	$553.29	$1,039.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $333.70 / $792.00	Professional		$283.70	$333.70	$792.00