Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.52 / $3,259.25 / $7,119.04	Facility		$939.52	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $162.66 / $501.30	Professional		$117.51	$162.66	$501.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $379.78 / $524.84	Professional		$258.61	$379.78	$524.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $220.24 / $334.94	Professional		$121.17	$220.24	$334.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.09 / $328.05 / $4,984.95	Facility		$198.09	$328.05	$4,984.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $361.50 / $1,433.84	Professional		$185.57	$361.50	$1,433.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $276.55 / $436.62	Facility		$203.62	$276.55	$436.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.13 / $328.92 / $475.10	Professional		$224.13	$328.92	$475.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $241.60 / $521.29	Professional		$3.00	$241.60	$521.29
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 $177.19 / $304.26 / $503.40	Professional		$177.19	$304.26	$503.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $299.60 / $425.00	Professional		$254.70	$299.60	$425.00