Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,090.30 / $6,760.83	Facility		$194.98	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $707.95	Professional		$131.83	$269.15	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $794.33	Professional		$302.00	$630.96	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $407.38 / $870.96	Professional		$151.36	$407.38	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $1,621.81	Facility		$302.00	$602.56	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $2,089.30	Professional		$295.12	$446.68	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $741.31	Professional		$295.12	$562.34	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $758.58	Professional		$295.12	$354.81	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $501.19 / $741.31	Professional		$6.03	$501.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,344.23	Facility		$724.44	$1,288.25	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $660.69	Professional		$151.36	$316.23	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $588.84	Professional		$245.47	$288.40	$588.84