Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.26 / $2,546.00 / $6,298.62	Facility		$252.26	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $458.16 / $784.93	Professional		$97.49	$458.16	$784.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $448.25 / $1,416.99	Professional		$138.07	$448.25	$1,416.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $637.21 / $944.18	Professional		$81.18	$637.21	$944.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.43 / $784.93 / $1,326.53	Facility		$170.43	$784.93	$1,326.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.25 / $1,009.98 / $3,699.68	Professional		$234.25	$1,009.98	$3,699.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $189.23 / $934.00 / $1,280.75	Facility		$189.23	$934.00	$1,280.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $816.38 / $1,355.92	Professional		$189.23	$816.38	$1,355.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $649.90 / $1,331.50	Professional		$5.00	$649.90	$1,331.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.98 / $843.47 / $1,454.92	Professional		$492.98	$843.47	$1,454.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $212.30 / $1,137.50	Professional		$173.50	$212.30	$1,137.50