Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.52 / $2,352.00 / $6,298.62	Facility		$398.52	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $279.37 / $555.60	Professional		$168.16	$279.37	$555.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $393.45 / $678.79	Professional		$314.76	$393.45	$678.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $286.85 / $674.01	Professional		$130.51	$286.85	$674.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.41 / $576.04 / $5,467.65	Facility		$324.41	$576.04	$5,467.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $546.34 / $2,203.34	Professional		$303.01	$546.34	$2,203.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.97 / $589.72 / $1,813.25	Facility		$339.97	$589.72	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $443.94 / $646.14	Professional		$295.70	$443.94	$646.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $411.40 / $638.00	Professional		$4.00	$411.40	$638.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.62 / $482.30 / $734.92	Professional		$259.62	$482.30	$734.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $317.89 / $533.79	Professional		$270.20	$317.89	$533.79