Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,090.30 / $6,760.83	Facility		$177.83	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $537.03	Professional		$114.82	$199.53	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $575.44	Professional		$281.84	$346.74	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $562.34	Professional		$134.90	$346.74	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $9,120.11	Facility		$275.42	$549.54	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $1,318.26	Professional		$239.88	$371.54	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $588.84	Professional		$269.15	$467.74	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $575.44	Professional		$239.88	$323.59	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $446.68 / $575.44	Professional		$6.03	$446.68	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $9,772.37	Facility		$3,162.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $524.81	Professional		$138.04	$269.15	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $467.74	Professional		$223.87	$263.03	$467.74