Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.89 / $2,301.00 / $6,970.01	Facility		$396.89	$2,301.00	$6,970.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $214.44 / $618.00	Professional		$123.07	$214.44	$618.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $354.54 / $365.11	Professional		$290.60	$354.54	$365.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $199.81 / $418.32	Professional		$127.23	$199.81	$418.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $321.69 / $1,623.00	Facility		$172.35	$321.69	$1,623.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $62.22 / $62.22 / $62.22	Facility	AS	$62.22	$62.22	$62.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $314.24 / $565.40	Professional		$163.99	$314.24	$565.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $299.12 / $402.79	Facility		$205.30	$299.12	$402.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $299.12 / $425.47	Professional		$205.30	$299.12	$425.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $230.91 / $287.57	Professional		$129.36	$230.91	$287.57
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 $155.82 / $274.43 / $454.40	Professional		$155.82	$274.43	$454.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $259.10 / $304.80	Professional		$259.10	$259.10	$304.80