Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.84 / $2,912.34 / $6,446.00	Facility		$449.84	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $165.80 / $309.60	Professional		$93.87	$165.80	$309.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $272.10 / $426.56	Professional		$165.22	$272.10	$426.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $226.95 / $400.63	Professional		$70.44	$226.95	$400.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.01 / $276.00 / $1,151.00	Facility		$158.01	$276.00	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $312.97 / $1,112.00	Professional		$165.22	$312.97	$1,112.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $199.25 / $373.17	Facility		$137.16	$199.25	$373.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $247.51 / $397.97	Professional		$160.56	$247.51	$397.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $234.40 / $399.40	Professional		$3.00	$234.40	$399.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $272.85 / $429.93	Professional		$156.93	$272.85	$429.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $171.40 / $334.50	Professional		$145.69	$171.40	$334.50