Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $5,091.00 / $7,119.04	Facility		$102.78	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $236.03 / $717.27	Professional		$124.23	$236.03	$717.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $375.96 / $604.78	Professional		$250.82	$375.96	$604.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $282.64 / $518.98	Professional		$108.35	$282.64	$518.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.04 / $349.26 / $1,204.00	Facility		$219.04	$349.26	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $420.62 / $1,560.64	Professional		$242.00	$420.62	$1,560.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.82 / $378.00 / $530.88	Facility		$250.82	$378.00	$530.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.97 / $361.44 / $571.66	Professional		$246.97	$361.44	$571.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $504.40 / $576.50	Professional		$143.19	$504.40	$576.50
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 $213.78 / $404.42 / $579.92	Professional		$213.78	$404.42	$579.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $265.39 / $449.50	Professional		$225.50	$265.39	$449.50