Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,511.89 / $6,760.83	Facility		$199.53	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $707.95	Professional		$147.91	$323.59	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $794.33	Professional		$281.84	$630.96	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $389.05 / $1,445.44	Professional		$125.89	$389.05	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $676.08 / $1,949.84	Facility		$316.23	$676.08	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $1,479.11	Professional		$316.23	$602.56	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $676.08 / $891.25	Professional		$316.23	$676.08	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $776.25	Professional		$338.84	$354.81	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $588.84	Professional		$131.83	$281.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $933.25	Professional		$154.88	$363.08	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $645.65	Professional		$263.03	$309.03	$645.65