Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.85 / $1,300.00 / $6,066.00	Facility		$320.85	$1,300.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $202.65 / $367.97	Professional		$110.98	$202.65	$367.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $327.22 / $719.69	Professional		$166.03	$327.22	$719.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $324.80 / $653.72	Professional		$143.11	$324.80	$653.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.58 / $454.15 / $1,922.66	Facility		$224.58	$454.15	$1,922.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $545.44 / $1,509.26	Professional		$275.49	$545.44	$1,509.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.10 / $454.15 / $717.58	Facility		$224.10	$454.15	$717.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $426.52 / $701.25	Professional		$224.10	$426.52	$701.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $224.29 / $448.27	Professional		$111.00	$224.29	$448.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $477.30 / $788.47	Professional		$263.89	$477.30	$788.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $273.20 / $560.20	Professional		$223.30	$273.20	$560.20