Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.98 / $648.74 / $3,046.74	Facility		$285.98	$648.74	$3,046.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $185.86 / $514.00	Professional		$95.19	$185.86	$514.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.94 / $222.12 / $374.59	Professional		$178.94	$222.12	$374.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $170.33 / $301.25	Professional		$95.07	$170.33	$301.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $243.05 / $8,165.52	Facility		$178.94	$243.05	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $226.34 / $1,500.00	Professional		$122.26	$226.34	$1,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $294.62 / $3,093.19	Facility		$179.20	$294.62	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $201.83 / $316.00	Professional		$164.00	$201.83	$316.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $185.60 / $253.60	Professional		$5.00	$185.60	$253.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $197.84 / $311.11	Professional		$109.91	$197.84	$311.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $151.40	Professional		$128.69	$128.69	$151.40