Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,235.94 / $6,760.83	Facility		$478.63	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $891.25	Professional		$204.17	$338.84	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $933.25	Professional		$501.19	$660.69	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $758.58	Professional		$208.93	$389.05	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $4,365.16	Facility		$354.81	$691.83	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $977.24	Professional		$346.74	$562.34	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $831.76	Professional		$501.19	$588.84	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $660.69	Professional		$204.17	$363.08	$660.69
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 $251.19 / $380.19 / $724.44	Professional		$251.19	$380.19	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $660.69	Professional		$407.38	$478.63	$660.69