Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.54 / $2,218.00 / $6,066.00	Facility		$379.54	$2,218.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $285.31 / $679.48	Professional		$123.29	$285.31	$679.48
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 $158.21 / $333.07 / $808.27	Professional		$158.21	$333.07	$808.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $395.16 / $746.36	Professional		$116.11	$395.16	$746.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.76 / $503.38 / $2,023.12	Facility		$199.76	$503.38	$2,023.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.41 / $644.83 / $2,214.71	Professional		$294.41	$644.83	$2,214.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.62 / $646.00 / $1,156.80	Facility		$280.62	$646.00	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $479.00 / $808.27	Professional		$260.55	$479.00	$808.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $307.89 / $1,270.07	Professional		$116.71	$307.89	$1,270.07
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 $293.16 / $501.04 / $867.57	Professional		$293.16	$501.04	$867.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $281.10 / $668.90	Professional		$229.70	$281.10	$668.90