Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $2,834.13 / $7,119.04	Facility		$893.00	$2,834.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $204.44 / $552.33	Professional		$87.58	$204.44	$552.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $387.17 / $652.50	Professional		$182.81	$387.17	$652.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $293.42 / $730.70	Professional		$94.56	$293.42	$730.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.27 / $369.30 / $1,970.00	Facility		$153.27	$369.30	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $388.99 / $1,505.58	Professional		$209.83	$388.99	$1,505.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $479.35 / $917.51	Facility		$206.70	$479.35	$917.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $374.69 / $583.71	Professional		$183.28	$374.69	$583.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $217.54 / $961.36	Professional		$90.70	$217.54	$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 $209.83 / $325.38 / $610.08	Professional		$209.83	$325.38	$610.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $339.15 / $505.10	Professional		$182.30	$339.15	$505.10