Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,981.07 / $6,760.83	Facility		$288.40	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $467.74	Professional		$181.97	$234.42	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $537.03	Professional		$426.58	$512.86	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $831.76	Professional		$173.78	$309.03	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $6,025.60 / $18,197.01	Facility		$288.40	$6,025.60	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $794.33	Professional		$239.88	$407.38	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $812.83	Professional		$398.11	$467.74	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $524.81	Professional		$436.52	$512.86	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $478.63 / $524.81	Professional		$6.03	$478.63	$524.81
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 $208.93 / $363.08 / $630.96	Professional		$208.93	$363.08	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Professional		$338.84	$338.84	$398.11