Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $5,370.32 / $7,943.28	Facility		$309.03	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $537.03	Professional		$177.83	$257.04	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $537.03	Professional		$436.52	$478.63	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $776.25	Professional		$194.98	$309.03	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $549.54 / $6,606.93	Facility		$309.03	$549.54	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $741.31	Professional		$245.47	$436.52	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $794.33	Professional		$398.11	$489.78	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $478.63	Professional		$204.17	$363.08	$478.63
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 $223.87 / $338.84 / $645.65	Professional		$223.87	$338.84	$645.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $478.63	Professional		$316.23	$407.38	$478.63