Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,511.89 / $6,760.83	Facility		$281.84	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $436.52	Professional		$165.96	$204.17	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $602.56	Professional		$269.15	$457.09	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $478.63	Professional		$165.96	$263.03	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $1,148.15	Facility		$223.87	$436.52	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,348.96	Professional		$204.17	$407.38	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $524.81	Professional		$398.11	$446.68	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $524.81	Professional		$346.74	$389.05	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $416.87	Professional		$173.78	$309.03	$416.87
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 $177.83 / $269.15 / $512.86	Professional		$177.83	$269.15	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $457.09	Professional		$309.03	$389.05	$457.09