Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.36 / $3,294.00 / $6,298.62	Facility		$296.36	$3,294.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $155.97 / $296.36	Professional		$96.28	$155.97	$296.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $242.60 / $340.00	Professional		$208.87	$242.60	$340.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $149.24 / $274.43	Professional		$86.42	$149.24	$274.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.05 / $282.99 / $5,163.00	Facility		$181.05	$282.99	$5,163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $222.49 / $1,509.00	Professional		$117.68	$222.49	$1,509.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $290.87 / $1,331.66	Facility		$170.00	$290.87	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $209.37 / $290.87	Professional		$156.00	$209.37	$290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $189.40 / $244.10	Professional		$4.00	$189.40	$244.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $189.40 / $299.29	Professional		$105.73	$189.40	$299.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $212.90	Professional		$180.90	$180.90	$212.90