Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,259.25 / $7,119.04	Facility		$650.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $126.15 / $222.81	Professional		$58.25	$126.15	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $276.57 / $370.07	Professional		$134.63	$276.57	$370.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $174.06 / $313.54	Professional		$55.98	$174.06	$313.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $222.13 / $8,074.12	Facility		$138.77	$222.13	$8,074.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $257.93 / $1,265.00	Professional		$139.97	$257.93	$1,265.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $184.57 / $339.40	Facility		$138.29	$184.57	$339.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $194.77 / $347.08	Professional		$134.63	$194.77	$347.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $251.20 / $350.40	Professional		$4.00	$251.20	$350.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $246.03 / $388.78	Professional		$137.34	$246.03	$388.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $137.19 / $281.80	Professional		$116.60	$137.19	$281.80