Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $5,370.32 / $7,943.28	Facility		$234.42	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $389.05	Professional		$138.04	$199.53	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $426.58	Professional		$338.84	$363.08	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $537.03	Professional		$151.36	$239.88	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $7,079.46	Facility		$269.15	$426.58	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $562.34	Professional		$186.21	$346.74	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $575.44	Professional		$269.15	$380.19	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $354.81	Professional		$151.36	$263.03	$354.81
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 $177.83 / $269.15 / $512.86	Professional		$177.83	$269.15	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $371.54	Professional		$251.19	$316.23	$371.54