Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.13 / $3,034.03 / $6,298.62	Facility		$293.13	$3,034.03	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $154.28 / $341.12	Professional		$110.75	$154.28	$341.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.54 / $331.90 / $401.13	Professional		$247.54	$331.90	$401.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $184.64 / $303.31	Professional		$115.46	$184.64	$303.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $291.20 / $1,151.00	Facility		$166.57	$291.20	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $293.43 / $1,092.00	Professional		$148.82	$293.43	$1,092.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $250.23 / $396.27	Facility		$136.44	$250.23	$396.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $272.64 / $396.27	Professional		$193.25	$272.64	$396.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $200.80 / $395.20	Professional		$3.00	$200.80	$395.20
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 $139.44 / $234.61 / $394.71	Professional		$139.44	$234.61	$394.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $242.70 / $276.10 / $324.89	Professional		$242.70	$276.10	$324.89