Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.91 / $2,546.00 / $6,298.62	Facility		$283.91	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $202.77 / $483.55	Professional		$116.51	$202.77	$483.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $298.41 / $477.20	Professional		$208.80	$298.41	$477.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $220.69 / $383.78	Professional		$81.77	$220.69	$383.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $310.55 / $1,387.80	Facility		$179.32	$310.55	$1,387.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $367.54 / $1,258.88	Professional		$182.00	$367.54	$1,258.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.70 / $264.00 / $427.70	Facility		$198.70	$264.00	$427.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $284.91 / $454.45	Professional		$198.70	$284.91	$454.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $371.30 / $457.10	Professional		$5.00	$371.30	$457.10
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 $176.55 / $318.83 / $489.01	Professional		$176.55	$318.83	$489.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $206.10 / $381.30	Professional		$175.20	$206.10	$381.30