Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $3,585.87 / $7,119.04	Facility		$896.47	$3,585.87	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $236.75 / $863.53	Professional		$154.52	$236.75	$863.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $429.93 / $634.12	Professional		$178.75	$429.93	$634.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $314.33 / $550.38	Professional		$157.69	$314.33	$550.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.98 / $412.52 / $3,044.00	Facility		$240.98	$412.52	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.26 / $508.91 / $1,748.08	Professional		$263.26	$508.91	$1,748.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.13 / $411.35 / $619.29	Facility		$243.13	$411.35	$619.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $442.32 / $634.12	Professional		$325.52	$442.32	$634.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $447.20 / $618.50	Professional		$5.00	$447.20	$618.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,663.00 / $7,305.00	Facility		$2,559.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.11 / $364.98 / $714.15	Professional		$240.11	$364.98	$714.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $379.00 / $530.79	Professional		$322.20	$379.00	$530.79