Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $3,489.13 / $7,119.04	Facility		$744.00	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $191.72 / $579.29	Professional		$117.74	$191.72	$579.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.61 / $360.33 / $559.98	Professional		$242.61	$360.33	$559.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $270.60 / $676.86	Professional		$127.01	$270.60	$676.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.43 / $352.11 / $1,970.00	Facility		$203.43	$352.11	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $380.17 / $2,314.00	Professional		$201.43	$380.17	$2,314.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.77 / $424.51 / $921.98	Facility		$284.77	$424.51	$921.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.25 / $356.04 / $522.76	Professional		$245.25	$356.04	$522.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $221.84 / $961.36	Professional		$121.40	$221.84	$961.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.96 / $2,216.52 / $4,745.72	Facility		$1,168.96	$2,216.52	$4,745.72
United Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $292.99 / $549.36	Professional		$187.54	$292.99	$549.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $294.04 / $437.90	Professional		$243.90	$294.04	$437.90