Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,951.21 / $6,760.83	Facility		$467.74	$2,951.21	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,318.26	Professional		$199.53	$398.11	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $891.25	Professional		$501.19	$630.96	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $891.25	Professional		$208.93	$389.05	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $741.31 / $4,365.16	Facility		$346.74	$741.31	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,023.29	Professional		$338.84	$588.84	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $831.76	Professional		$489.78	$630.96	$831.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,370.32	Facility		$1,819.70	$3,890.45	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $724.44	Professional		$263.03	$416.87	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $645.65	Professional		$398.11	$467.74	$645.65