Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $4,786.30 / $7,079.46	Facility		$251.19	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $407.38	Professional		$147.91	$213.80	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $446.68	Professional		$354.81	$398.11	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $707.95	Professional		$151.36	$275.42	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $9,332.54 / $21,877.62	Facility		$316.23	$9,332.54	$21,877.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $630.96	Professional		$190.55	$346.74	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $645.65	Professional		$354.81	$436.52	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $446.68	Professional		$346.74	$346.74	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $363.08	Professional		$154.88	$275.42	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $21,877.62	Facility		$8,511.38	$12,022.64	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $524.81	Professional		$181.97	$281.84	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $389.05	Professional		$257.04	$331.13	$389.05