Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $3,576.15 / $7,119.04	Facility		$896.47	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $213.11 / $502.24	Professional		$72.23	$213.11	$502.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $246.63 / $685.38	Professional		$80.31	$246.63	$685.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $336.39 / $475.33	Professional		$69.70	$336.39	$475.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $329.53 / $1,838.54	Facility		$124.65	$329.53	$1,838.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $517.62 / $2,062.96	Professional		$198.35	$517.62	$2,062.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.05 / $377.65 / $685.38	Facility		$172.05	$377.65	$685.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $339.60 / $685.38	Professional		$165.94	$339.60	$685.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $445.60 / $792.40	Professional		$4.00	$445.60	$792.40
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 $250.62 / $384.00 / $781.27	Professional		$250.62	$384.00	$781.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $179.00 / $615.29	Professional		$146.30	$179.00	$615.29