Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,248.07 / $7,943.28	Facility		$457.09	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $776.25	Professional		$281.84	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $891.25	Professional		$707.95	$724.44	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,445.44	Professional		$309.03	$562.34	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,801.89 / $17,782.79	Facility		$575.44	$3,801.89	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $2,818.38	Professional		$354.81	$630.96	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,202.26	Professional		$676.08	$758.58	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $831.76	Professional		$616.60	$812.83	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $645.65 / $776.25	Professional		$6.03	$645.65	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $18,620.87	Facility		$5,495.41	$9,332.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $954.99	Professional		$331.13	$501.19	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Professional		$575.44	$575.44	$676.08