Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.70 / $2,891.70 / $6,298.62	Facility		$467.70	$2,891.70	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $255.53 / $773.00	Professional		$176.97	$255.53	$773.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.27 / $452.36 / $511.16	Professional		$376.27	$452.36	$511.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $240.76 / $818.83	Professional		$159.88	$240.76	$818.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.85 / $422.11 / $1,623.00	Facility		$245.85	$422.11	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.60 / $403.29 / $1,270.88	Professional		$213.60	$403.29	$1,270.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $384.90 / $524.29	Facility		$268.56	$384.90	$524.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $268.56 / $384.90 / $529.76	Professional		$268.56	$384.90	$529.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $366.20 / $428.70	Professional		$252.00	$366.20	$428.70
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 $199.98 / $348.09 / $783.86	Professional		$199.98	$348.09	$783.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $331.80 / $390.30	Professional		$331.80	$331.80	$390.30