Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.80 / $3,858.62 / $7,119.04	Facility		$587.80	$3,858.62	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $199.53 / $753.06	Professional		$43.04	$199.53	$753.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $190.31 / $602.83	Professional		$67.48	$190.31	$602.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $276.39 / $447.53	Professional		$39.90	$276.39	$447.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $390.27 / $613.62	Facility		$83.40	$390.27	$613.62
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $455.57 / $2,111.16	Professional		$180.38	$455.57	$2,111.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $377.00 / $563.29	Facility		$83.40	$377.00	$563.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $358.68 / $566.87	Professional		$83.40	$358.68	$566.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $274.30 / $536.29	Professional		$3.00	$274.30	$536.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $350.60 / $631.07	Professional		$213.25	$350.60	$631.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $100.50 / $462.10	Professional		$82.10	$100.50	$462.10