Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.52 / $3,259.25 / $7,119.04	Facility		$939.52	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $311.73 / $781.89	Professional		$126.76	$311.73	$781.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $330.27 / $557.26	Professional		$158.21	$330.27	$557.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $275.20 / $874.22	Professional		$139.35	$275.20	$874.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.54 / $389.36 / $3,028.08	Facility		$183.54	$389.36	$3,028.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.58 / $426.40 / $1,538.08	Professional		$226.58	$426.40	$1,538.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $509.95 / $1,193.67	Facility		$293.51	$509.95	$1,193.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $381.09 / $557.26	Professional		$293.51	$381.09	$557.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $257.70 / $562.29	Professional		$4.00	$257.70	$562.29
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 $209.79 / $305.14 / $620.85	Professional		$209.79	$305.14	$620.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $291.30 / $464.30	Professional		$238.10	$291.30	$464.30