Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.58 / $2,546.00 / $6,298.62	Facility		$531.58	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $292.05 / $488.34	Professional		$188.91	$292.05	$488.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.71 / $555.29 / $724.01	Professional		$361.71	$555.29	$724.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $331.77 / $549.88	Professional		$146.49	$331.77	$549.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $297.92 / $488.69 / $6,692.06	Facility		$297.92	$488.69	$6,692.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $568.77 / $1,924.24	Professional		$279.88	$568.77	$1,924.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $406.34 / $695.70	Facility		$319.76	$406.34	$695.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $457.17 / $695.70	Professional		$324.58	$457.17	$695.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $532.60 / $719.60	Professional		$5.00	$532.60	$719.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $593.16 / $797.91	Professional		$277.83	$593.16	$797.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $318.89 / $375.20 / $576.10	Professional		$318.89	$375.20	$576.10