Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,398.83 / $6,760.83	Facility		$229.09	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $478.63	Professional		$138.04	$181.97	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $512.86	Professional		$213.80	$371.54	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $389.05	Professional		$134.90	$208.93	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $1,148.15	Facility		$181.97	$363.08	$1,148.15
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	54	$478.63	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $1,096.48	Professional		$162.18	$331.13	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $446.68	Professional		$309.03	$371.54	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $446.68	Professional		$269.15	$323.59	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $354.81	Professional		$144.54	$263.03	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $416.87	Professional		$141.25	$208.93	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $389.05	Professional		$257.04	$331.13	$389.05