Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.01 / $2,912.34 / $7,119.04	Facility		$854.01	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $173.75 / $352.03	Professional		$76.90	$173.75	$352.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $275.37 / $638.86	Professional		$179.78	$275.37	$638.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $281.07 / $837.03	Professional		$87.81	$281.07	$837.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.58 / $353.95 / $1,778.52	Facility		$132.58	$353.95	$1,778.52
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $299.14 / $299.14 / $299.14	Facility	52	$299.14	$299.14	$299.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $413.07 / $788.48	Professional		$207.42	$413.07	$788.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.78 / $475.99 / $699.52	Facility		$179.78	$475.99	$699.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $414.68 / $641.54	Professional		$179.78	$414.68	$641.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $216.80 / $766.06	Professional		$79.20	$216.80	$766.06
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 $210.55 / $320.83 / $650.78	Professional		$210.55	$320.83	$650.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $331.56 / $493.80	Professional		$158.50	$331.56	$493.80