Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,801.89 / $6,760.83	Facility		$446.68	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $870.96	Professional		$269.15	$354.81	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $954.99	Professional		$457.09	$741.31	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $831.76	Professional		$281.84	$426.58	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $5,248.07	Facility		$416.87	$741.31	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $2,137.96	Professional		$338.84	$691.83	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $851.14	Professional		$630.96	$707.95	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $851.14	Professional		$575.44	$645.65	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $676.08	Professional		$269.15	$489.78	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $851.14	Professional		$288.40	$436.52	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $724.44	Professional		$489.78	$616.60	$724.44