Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.88 / $1,742.99 / $5,091.00	Facility		$290.88	$1,742.99	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $249.62 / $835.20	Professional		$103.09	$249.62	$835.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $302.88 / $756.70	Professional		$242.30	$302.88	$756.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $308.36 / $923.99	Professional		$113.79	$308.36	$923.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.36 / $427.82 / $1,778.52	Facility		$173.36	$427.82	$1,778.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $486.32 / $987.51	Professional		$256.88	$486.32	$987.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $565.54 / $732.33	Facility		$245.12	$565.54	$732.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $460.27 / $724.93	Professional		$245.12	$460.27	$724.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $387.19 / $387.19 / $387.19	Facility		$387.19	$387.19	$387.19
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 $244.65 / $391.44 / $733.95	Professional		$244.65	$391.44	$733.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $393.42 / $585.90	Professional		$206.00	$393.42	$585.90