Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,511.89 / $6,760.83	Facility		$436.52	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $707.95	Professional		$245.47	$323.59	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $954.99	Professional		$380.19	$676.08	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $912.01	Professional		$199.53	$389.05	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $676.08 / $7,413.10	Facility		$309.03	$676.08	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $602.56 / $2,041.74	Professional		$281.84	$602.56	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $776.25	Professional		$446.68	$676.08	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $741.31	Professional		$489.78	$575.44	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $707.95	Professional		$281.84	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $741.31	Professional		$251.19	$371.54	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $741.31	Professional		$489.78	$630.96	$741.31