Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.91 / $3,576.15 / $7,119.04	Facility		$948.91	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $224.96 / $508.85	Professional		$142.77	$224.96	$508.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $398.00 / $583.67	Professional		$177.25	$398.00	$583.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $288.75 / $636.55	Professional		$139.15	$288.75	$636.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.24 / $375.04 / $1,708.54	Facility		$234.24	$375.04	$1,708.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $455.77 / $1,607.52	Professional		$242.28	$455.77	$1,607.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.50 / $375.04 / $549.44	Facility		$250.50	$375.04	$549.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $294.58 / $402.79 / $583.67	Professional		$294.58	$402.79	$583.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $392.80 / $589.50	Professional		$5.00	$392.80	$589.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,482.00 / $5,454.00	Facility		$1,321.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $339.43 / $657.25	Professional		$222.09	$339.43	$657.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $352.60 / $502.10	Professional		$299.70	$352.60	$502.10