Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,090.30 / $6,760.83	Facility		$323.59	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $933.25	Professional		$194.98	$380.19	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,122.02	Professional		$501.19	$616.60	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $758.58	Professional		$199.53	$407.38	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $776.25 / $1,819.70	Facility		$346.74	$776.25	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,148.15	Professional		$338.84	$562.34	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $954.99	Professional		$489.78	$575.44	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $794.33	Professional		$199.53	$407.38	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,398.83	Facility		$1,071.52	$1,698.24	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $851.14	Professional		$239.88	$407.38	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $794.33	Professional		$389.05	$457.09	$794.33