Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $5,370.32 / $7,943.28	Facility		$398.11	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $446.68	Professional		$229.09	$309.03	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $870.96	Professional		$691.83	$707.95	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $512.86 / $3,801.89	Professional		$218.78	$512.86	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,949.84 / $6,606.93	Facility		$354.81	$1,949.84	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $4,073.80	Professional		$269.15	$467.74	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $5,495.41	Professional		$354.81	$602.56	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $5,495.41	Professional		$707.95	$707.95	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $707.95	Professional		$251.19	$398.11	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Professional		$3,801.89	$3,801.89	$4,466.84