Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,388.44 / $6,760.83	Facility		$223.87	$3,388.44	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $831.76	Professional		$128.82	$223.87	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $398.11	Professional		$295.12	$323.59	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $645.65	Professional		$141.25	$213.80	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $7,079.46	Facility		$251.19	$467.74	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $1,698.24	Professional		$162.18	$338.84	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $467.74	Professional		$309.03	$346.74	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $426.58	Professional		$309.03	$309.03	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $302.00	Professional		$128.82	$229.09	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Facility		$4,168.69	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $446.68	Professional		$144.54	$263.03	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $316.23	Professional		$213.80	$269.15	$316.23