Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.73 / $3,281.81 / $6,298.62	Facility		$366.73	$3,281.81	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $307.69 / $680.15	Professional		$135.84	$307.69	$680.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $595.33 / $793.71	Professional		$283.00	$595.33	$793.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $378.44 / $694.93	Professional		$120.80	$378.44	$694.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.27 / $677.71 / $4,699.47	Facility		$325.27	$677.71	$4,699.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.04 / $618.87 / $2,043.68	Professional		$313.04	$618.87	$2,043.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.56 / $657.27 / $1,476.40	Facility		$314.56	$657.27	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $513.04 / $746.77	Professional		$282.38	$513.04	$746.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $277.58 / $1,589.47	Professional		$126.72	$277.58	$1,589.47
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 $306.88 / $591.09 / $1,137.70	Professional		$306.88	$591.09	$1,137.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $281.30 / $593.00	Professional		$239.10	$281.30	$593.00