Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $3,576.15 / $7,119.04	Facility		$603.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $197.98 / $396.78	Professional		$35.17	$197.98	$396.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $264.55 / $643.73	Professional		$49.36	$264.55	$643.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $288.39 / $900.63	Professional		$41.38	$288.39	$900.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $268.91 / $800.00	Facility		$61.19	$268.91	$800.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $135.65 / $135.65	Facility	52	$135.65	$135.65	$135.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.56 / $478.17 / $1,151.91	Professional		$211.56	$478.17	$1,151.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $249.99 / $599.07	Facility		$87.08	$249.99	$599.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $410.60 / $647.51	Professional		$81.52	$410.60	$647.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $294.89 / $643.40	Professional		$4.00	$294.89	$643.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $3,560.25	Facility		$1,026.00	$1,607.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $339.63 / $688.69	Professional		$232.72	$339.63	$688.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $87.90 / $496.00	Professional		$71.90	$87.90	$496.00