Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,801.89 / $6,760.83	Facility		$257.04	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $549.54	Professional		$147.91	$223.87	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $691.83	Professional		$269.15	$489.78	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $478.63	Professional		$154.88	$281.84	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $436.52 / $8,128.31	Facility		$239.88	$436.52	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $1,258.93	Professional		$213.80	$426.58	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $616.60	Professional		$363.08	$436.52	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $616.60	Professional		$295.12	$407.38	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $512.86	Professional		$165.96	$302.00	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $512.86	Professional		$162.18	$257.04	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $537.03	Professional		$331.13	$389.05	$537.03