Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.63 / $3,259.25 / $7,119.04	Facility		$837.63	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $184.74 / $583.00	Professional		$106.36	$184.74	$583.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $276.23 / $429.48	Professional		$219.06	$276.23	$429.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $226.28 / $383.78	Professional		$93.09	$226.28	$383.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.43 / $290.98 / $1,151.00	Facility		$156.43	$290.98	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $322.41 / $1,134.24	Professional		$176.43	$322.41	$1,134.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $239.00 / $390.97	Facility		$128.63	$239.00	$390.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $270.23 / $402.54	Professional		$204.06	$270.23	$402.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $168.05 / $283.70	Professional		$98.91	$168.05	$283.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $283.93 / $448.68	Professional		$151.61	$283.93	$448.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $223.30 / $337.50	Professional		$189.80	$223.30	$337.50