Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $2,834.13 / $6,446.00	Facility		$378.00	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $296.05 / $1,060.11	Professional		$121.82	$296.05	$1,060.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $401.02 / $534.66	Professional		$186.20	$401.02	$534.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $255.71 / $732.63	Professional		$78.50	$255.71	$732.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.17 / $501.61 / $6,494.85	Facility		$210.17	$501.61	$6,494.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $433.16 / $1,603.00	Professional		$210.17	$433.16	$1,603.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.53 / $501.61 / $3,018.60	Facility		$204.53	$501.61	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $360.39 / $581.16	Professional		$181.22	$360.39	$581.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $186.48 / $3,215.07	Professional		$83.70	$186.48	$3,215.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $413.15 / $677.26	Professional		$205.84	$413.15	$677.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $195.50 / $432.50	Professional		$166.10	$195.50	$432.50