Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.92 / $2,301.00 / $6,298.62	Facility		$384.92	$2,301.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $207.77 / $626.48	Professional		$112.21	$207.77	$626.48
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 $130.75 / $322.39 / $614.20	Professional		$130.75	$322.39	$614.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $287.37 / $421.13	Professional		$118.28	$287.37	$421.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.77 / $331.45 / $2,023.12	Facility		$198.77	$331.45	$2,023.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.39 / $464.22 / $1,854.72	Professional		$216.39	$464.22	$1,854.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $238.69 / $496.39 / $1,156.80	Facility		$238.69	$496.39	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.57 / $364.68 / $614.20	Professional		$233.57	$364.68	$614.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $255.86 / $1,256.42	Professional		$122.26	$255.86	$1,256.42
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 $201.96 / $343.36 / $615.44	Professional		$201.96	$343.36	$615.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $290.50 / $564.00	Professional		$237.40	$290.50	$564.00