Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $4,570.88 / $7,079.46	Facility		$173.78	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $302.00	Professional		$97.72	$141.25	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $346.74	Professional		$281.84	$309.03	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $467.74	Professional		$114.82	$199.53	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,570.40 / $8,709.64	Facility		$194.98	$2,570.40	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $891.25	Professional		$134.90	$239.88	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $398.11	Professional		$263.03	$275.42	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $316.23	Professional		$239.88	$309.03	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $257.04 / $309.03	Professional		$5.01	$257.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $346.74	Professional		$123.03	$186.21	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $263.03	Professional		$218.78	$218.78	$263.03