Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,090.30 / $6,760.83	Facility		$173.78	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $724.44	Professional		$117.49	$263.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $794.33	Professional		$275.42	$346.74	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $660.69	Professional		$151.36	$371.54	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $645.65 / $5,248.07	Facility		$269.15	$645.65	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $1,380.38	Professional		$263.03	$416.87	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $724.44	Professional		$263.03	$398.11	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $724.44	Professional		$239.88	$316.23	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $467.74 / $724.44	Professional		$6.03	$467.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $630.96	Professional		$134.90	$288.40	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $575.44	Professional		$223.87	$263.03	$575.44