Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.14 / $2,834.13 / $7,119.04	Facility		$235.14	$2,834.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $219.87 / $723.20	Professional		$80.12	$219.87	$723.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $237.63 / $639.84	Professional		$182.54	$237.63	$639.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $301.31 / $676.69	Professional		$119.71	$301.31	$676.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.76 / $317.01 / $1,611.00	Facility		$123.76	$317.01	$1,611.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.24 / $586.08 / $1,646.48	Professional		$268.24	$586.08	$1,646.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.14 / $545.70 / $742.67	Facility		$184.14	$545.70	$742.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $447.11 / $742.67	Professional		$184.14	$447.11	$742.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $203.86 / $745.94	Professional		$78.81	$203.86	$745.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,258.00 / $5,454.00	Facility		$1,775.00	$3,258.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.24 / $508.92 / $793.80	Professional		$268.24	$508.92	$793.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $332.59 / $495.30	Professional		$162.40	$332.59	$495.30