Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.23 / $2,293.00 / $6,298.62	Facility		$223.23	$2,293.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $278.43 / $717.53	Professional		$68.19	$278.43	$717.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $346.48 / $1,198.83	Professional		$114.30	$346.48	$1,198.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $526.37 / $863.10	Professional		$85.28	$526.37	$863.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $668.84 / $7,405.00	Facility		$151.38	$668.84	$7,405.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $876.48 / $1,553.59	Professional		$376.79	$876.48	$1,553.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $576.61 / $1,030.41	Facility		$151.38	$576.61	$1,030.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $609.25 / $1,137.33	Professional		$151.38	$609.25	$1,137.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $135.35 / $722.75	Professional		$66.09	$135.35	$722.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.40 / $746.09 / $1,179.00	Professional		$398.40	$746.09	$1,179.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $163.30 / $915.80	Professional		$133.50	$163.30	$915.80