Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,912.34 / $7,119.04	Facility		$603.00	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $144.33 / $309.66	Professional		$84.00	$144.33	$309.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $270.17 / $408.05	Professional		$168.79	$270.17	$408.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $176.71 / $330.74	Professional		$97.51	$176.71	$330.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $227.82 / $734.94	Facility		$142.63	$227.82	$734.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $250.54 / $876.00	Professional		$124.11	$250.54	$876.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $227.82 / $335.21	Facility		$142.63	$227.82	$335.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $252.94 / $350.37	Professional		$160.87	$252.94	$350.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $185.44 / $277.95	Professional		$108.73	$185.44	$277.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.09 / $189.09 / $384.71	Professional		$124.09	$189.09	$384.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $242.40 / $331.40	Professional		$206.00	$242.40	$331.40