Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.39 / $3,167.00 / $6,446.00	Facility		$501.39	$3,167.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $183.63 / $501.39	Professional		$147.77	$183.63	$501.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $364.72 / $472.72	Professional		$192.86	$364.72	$472.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $267.63 / $885.34	Professional		$144.72	$267.63	$885.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.43 / $397.85 / $4,871.77	Facility		$246.43	$397.85	$4,871.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.39 / $356.50 / $2,157.98	Professional		$184.39	$356.50	$2,157.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $416.74 / $1,622.05	Facility		$281.00	$416.74	$1,622.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.89 / $342.07 / $483.87	Professional		$249.89	$342.07	$483.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $274.89 / $1,772.25	Professional		$142.53	$274.89	$1,772.25
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 $169.03 / $281.77 / $500.21	Professional		$169.03	$281.77	$500.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $301.60 / $354.90	Professional		$238.26	$301.60	$354.90