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 $227.46 / $348.52 / $348.52	Professional		$227.46	$348.52	$348.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.51 / $563.85 / $638.92	Professional		$495.51	$563.85	$638.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $397.99 / $1,439.79	Professional		$220.70	$397.99	$1,439.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.50 / $562.40 / $1,607.00	Facility		$324.50	$562.40	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $535.33 / $3,692.24	Professional		$283.14	$535.33	$3,692.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.52 / $410.00 / $638.92	Facility		$262.52	$410.00	$638.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $512.60 / $670.67	Professional		$360.00	$512.60	$670.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $379.90 / $587.10	Professional		$4.00	$379.90	$587.10
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 $258.55 / $442.68 / $720.10	Professional		$258.55	$442.68	$720.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $452.00 / $531.79	Professional		$452.00	$452.00	$531.79