Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,238.72 / $6,025.60	Facility		$229.09	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $354.81 / $977.24	Professional		$138.04	$354.81	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,047.13	Professional		$288.40	$426.58	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $407.38 / $1,096.48	Professional		$134.90	$407.38	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $707.95 / $4,677.35	Facility		$229.09	$707.95	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $2,818.38	Professional		$346.74	$724.44	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $977.24	Professional		$331.13	$758.58	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $741.31 / $912.01	Professional		$288.40	$741.31	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $338.84 / $758.58	Professional		$144.54	$338.84	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $912.01	Professional		$151.36	$371.54	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $794.33	Professional		$281.84	$331.13	$794.33