Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $2,234.00 / $6,446.00	Facility		$79.36	$2,234.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $163.60 / $686.15	Professional		$78.37	$163.60	$686.15
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 $105.46 / $226.39 / $468.10	Professional		$105.46	$226.39	$468.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $233.01 / $517.03	Professional		$80.37	$233.01	$517.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.34 / $295.76 / $2,559.00	Facility		$140.34	$295.76	$2,559.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $393.54 / $2,229.16	Professional		$187.01	$393.54	$2,229.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.45 / $376.99 / $1,311.70	Facility		$192.45	$376.99	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $311.00 / $471.99	Professional		$177.59	$311.00	$471.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $326.30 / $464.50	Professional		$5.00	$326.30	$464.50
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 $178.88 / $267.75 / $529.38	Professional		$178.88	$267.75	$529.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $191.60 / $391.10	Professional		$156.60	$191.60	$391.10