Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.52 / $2,546.00 / $6,446.00	Facility		$939.52	$2,546.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $141.90 / $315.22	Professional		$73.08	$141.90	$315.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $223.02 / $506.82	Professional		$101.02	$223.02	$506.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $246.73 / $379.13	Professional		$77.25	$246.73	$379.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $273.36 / $1,735.52	Facility		$133.16	$273.36	$1,735.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $375.91 / $1,387.84	Professional		$177.58	$375.91	$1,387.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.76 / $397.18 / $906.10	Facility		$182.76	$397.18	$906.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $272.00 / $506.82	Professional		$180.34	$272.00	$506.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $190.77 / $986.57	Professional		$78.02	$190.77	$986.57
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 $177.58 / $301.89 / $525.54	Professional		$177.58	$301.89	$525.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $186.90 / $422.80	Professional		$152.69	$186.90	$422.80