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 $239.88 / $363.08 / $1,445.44	Professional		$239.88	$363.08	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $707.95	Professional		$575.44	$630.96	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $1,071.52	Professional		$257.04	$398.11	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $6,606.93	Facility		$398.11	$707.95	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,047.13	Professional		$331.13	$575.44	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,122.02	Professional		$562.34	$630.96	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $630.96	Professional		$269.15	$478.63	$630.96
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 $295.12 / $457.09 / $851.14	Professional		$295.12	$457.09	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $616.60	Professional		$416.87	$524.81	$616.60