Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $3,576.15 / $7,119.04	Facility		$896.47	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $204.37 / $641.52	Professional		$115.44	$204.37	$641.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $325.47 / $581.14	Professional		$164.54	$325.47	$581.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $285.13 / $472.55	Professional		$119.75	$285.13	$472.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.37 / $323.86 / $3,044.00	Facility		$204.37	$323.86	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $467.02 / $1,640.96	Professional		$225.60	$467.02	$1,640.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $259.35 / $323.72 / $580.37	Facility		$259.35	$323.72	$580.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.68 / $367.07 / $581.14	Professional		$249.68	$367.07	$581.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $416.30 / $596.20	Professional		$5.00	$416.30	$596.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $351.89 / $667.63	Professional		$223.39	$351.89	$667.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $290.50 / $494.50	Professional		$237.40	$290.50	$494.50