Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.16 / $2,977.00 / $6,298.62	Facility		$256.16	$2,977.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $236.56 / $400.05	Professional		$116.32	$236.56	$400.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $341.83 / $787.86	Professional		$173.93	$341.83	$787.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $354.37 / $726.51	Professional		$149.27	$354.37	$726.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.37 / $495.52 / $1,922.66	Facility		$235.37	$495.52	$1,922.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.69 / $592.96 / $1,647.83	Professional		$297.69	$592.96	$1,647.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.87 / $495.52 / $779.32	Facility		$233.87	$495.52	$779.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.87 / $465.70 / $762.28	Professional		$233.87	$465.70	$762.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $242.58 / $488.91	Professional		$115.04	$242.58	$488.91
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 $289.85 / $492.75 / $857.77	Professional		$289.85	$492.75	$857.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $285.00 / $611.50	Professional		$233.00	$285.00	$611.50