Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.64 / $2,906.00 / $6,298.62	Facility		$304.64	$2,906.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $263.35 / $775.49	Professional		$140.96	$263.35	$775.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $369.00 / $473.30	Professional		$292.57	$369.00	$473.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $243.17 / $400.57	Professional		$123.76	$243.17	$400.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.41 / $355.49 / $1,151.00	Facility		$192.41	$355.49	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $369.00 / $1,255.20	Professional		$187.00	$369.00	$1,255.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $308.08 / $441.60	Facility		$125.42	$308.08	$441.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $352.73 / $453.23	Professional		$232.42	$352.73	$453.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $213.34 / $319.37	Professional		$131.13	$213.34	$319.37
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 $178.87 / $320.41 / $506.33	Professional		$178.87	$320.41	$506.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $298.20 / $376.00	Professional		$253.40	$298.20	$376.00