Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.87 / $2,352.00 / $6,298.62	Facility		$249.87	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $234.21 / $583.34	Professional		$135.78	$234.21	$583.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.23 / $475.25 / $637.89	Professional		$328.23	$475.25	$637.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $297.47 / $535.14	Professional		$132.66	$297.47	$535.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.87 / $498.61 / $4,510.68	Facility		$249.87	$498.61	$4,510.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $490.38 / $1,621.92	Professional		$244.20	$490.38	$1,621.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.23 / $505.02 / $1,300.32	Facility		$328.23	$505.02	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $414.34 / $596.90	Professional		$272.06	$414.34	$596.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $453.90 / $602.50	Professional		$5.00	$453.90	$602.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $477.84 / $662.45	Professional		$234.03	$477.84	$662.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $327.00 / $473.40	Professional		$277.89	$327.00	$473.40