Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $1,866.90 / $6,298.62	Facility		$275.00	$1,866.90	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $144.74 / $471.91	Professional		$85.64	$144.74	$471.91
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 $111.75 / $236.36 / $619.67	Professional		$111.75	$236.36	$619.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $247.73 / $404.17	Professional		$84.24	$247.73	$404.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.74 / $286.69 / $1,838.54	Facility		$144.74	$286.69	$1,838.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $304.61 / $1,871.28	Professional		$149.13	$304.61	$1,871.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.44 / $469.08 / $1,156.80	Facility		$167.44	$469.08	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $263.83 / $619.67	Professional		$167.44	$263.83	$619.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $266.50 / $708.10	Professional		$5.00	$266.50	$708.10
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 $135.58 / $216.93 / $441.35	Professional		$135.58	$216.93	$441.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $205.70 / $569.29	Professional		$168.10	$205.70	$569.29