Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.33 / $1,589.24 / $5,549.00	Facility		$383.33	$1,589.24	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $132.63 / $494.29	Professional		$52.65	$132.63	$494.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $233.87 / $684.63	Professional		$73.67	$233.87	$684.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $234.50 / $416.54	Professional		$53.32	$234.50	$416.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $252.87 / $655.74	Facility		$106.49	$252.87	$655.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $409.05 / $2,881.04	Professional		$152.08	$409.05	$2,881.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $239.00 / $675.55	Facility		$108.16	$239.00	$675.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $236.00 / $655.74	Professional		$108.16	$236.00	$655.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $206.40 / $420.08	Professional		$56.41	$206.40	$420.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $291.01 / $592.07	Professional		$194.12	$291.01	$592.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $135.00 / $517.70	Professional		$110.30	$135.00	$517.70