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 $84.65 / $122.77 / $228.23	Professional		$84.65	$122.77	$228.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $208.94 / $315.86	Professional		$98.54	$208.94	$315.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $136.08 / $273.80	Professional		$74.97	$136.08	$273.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $203.61 / $794.08	Facility		$110.24	$203.61	$794.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $248.49 / $819.52	Professional		$129.24	$248.49	$819.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $203.61 / $297.27	Facility		$96.23	$203.61	$297.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $217.62 / $316.91	Professional		$152.27	$217.62	$316.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $234.40 / $305.50	Professional		$5.00	$234.40	$305.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $190.56 / $370.39	Professional		$124.04	$190.56	$370.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $180.40 / $225.70	Professional		$151.60	$180.40	$225.70