Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $225.23 / $691.73	Professional		$139.35	$225.23	$691.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $408.99 / $598.92	Professional		$265.64	$408.99	$598.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $266.50 / $388.08	Professional		$108.59	$266.50	$388.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $374.11 / $2,142.52	Facility		$225.11	$374.11	$2,142.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $458.55 / $1,503.20	Professional		$224.66	$458.55	$1,503.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.11 / $314.54 / $549.10	Facility		$251.11	$314.54	$549.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $358.42 / $549.10	Professional		$256.27	$358.42	$549.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $417.80 / $553.79	Professional		$5.00	$417.80	$553.79
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 $214.76 / $406.09 / $641.72	Professional		$214.76	$406.09	$641.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.20 / $275.60 / $462.10	Professional		$234.20	$275.60	$462.10