Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $5,370.32 / $7,943.28	Facility		$346.74	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $602.56	Professional		$199.53	$288.40	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $616.60	Professional		$489.78	$537.03	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $891.25	Professional		$218.78	$346.74	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $616.60 / $6,606.93	Facility		$346.74	$616.60	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $851.14	Professional		$275.42	$467.74	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $891.25	Professional		$446.68	$549.54	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $549.54	Professional		$234.42	$407.38	$549.54
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 / $380.19 / $724.44	Professional		$251.19	$380.19	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $537.03	Professional		$363.08	$457.09	$537.03