Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $407.65 / $590.41	Professional		$275.62	$407.65	$590.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.86 / $694.63 / $754.64	Professional		$571.86	$694.63	$754.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $481.55 / $824.31	Professional		$257.99	$481.55	$824.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $688.93 / $5,847.00	Facility		$488.00	$688.93	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $629.15 / $2,720.00	Professional		$329.51	$629.15	$2,720.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.11 / $617.70 / $797.23	Facility		$416.11	$617.70	$797.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $606.98 / $797.23	Professional		$446.00	$606.98	$797.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $500.90 / $682.40	Professional		$6.00	$500.90	$682.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.80 / $540.66 / $846.31	Professional		$302.80	$540.66	$846.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $525.79 / $525.79 / $618.60	Professional		$525.79	$525.79	$618.60