Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,981.07 / $6,760.83	Facility		$354.81	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $501.19	Professional		$204.17	$257.04	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $630.96	Professional		$407.38	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $758.58	Professional		$208.93	$316.23	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,949.84	Facility		$323.59	$524.81	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $1,659.59	Professional		$234.42	$457.09	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $602.56	Professional		$489.78	$549.54	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $602.56	Professional		$446.68	$457.09	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $467.74	Professional		$199.53	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $630.96	Professional		$229.09	$338.84	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $512.86	Professional		$346.74	$436.52	$512.86