Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.56 / $2,218.00 / $5,549.00	Facility		$441.56	$2,218.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $416.00 / $758.99	Professional		$168.23	$416.00	$758.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.26 / $561.72 / $1,431.67	Professional		$281.26	$561.72	$1,431.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $292.06 / $799.24	Professional		$115.83	$292.06	$799.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.12 / $1,080.05 / $4,663.00	Facility		$281.12	$1,080.05	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.11 / $1,043.53 / $3,753.52	Professional		$249.11	$1,043.53	$3,753.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $304.02 / $1,080.05 / $1,434.09	Facility		$304.02	$1,080.05	$1,434.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $652.88 / $1,431.67	Professional		$272.20	$652.88	$1,431.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,136.09 / $1,455.30	Professional		$6.00	$1,136.09	$1,455.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $834.83 / $1,661.96	Professional		$268.42	$834.83	$1,661.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $282.39 / $1,120.40	Professional		$240.00	$282.39	$1,120.40