Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.36 / $2,542.37 / $5,463.36	Facility		$549.36	$2,542.37	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.72 / $312.94 / $1,054.69	Professional		$195.72	$312.94	$1,054.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.26 / $498.14 / $617.44	Professional		$415.26	$498.14	$617.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $332.21 / $705.24	Professional		$173.23	$332.21	$705.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.28 / $600.04 / $5,109.84	Facility		$445.28	$600.04	$5,109.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $85.53 / $85.53 / $85.53	Facility	AS	$85.53	$85.53	$85.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.58 / $507.64 / $1,381.44	Professional		$252.58	$507.64	$1,381.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.21 / $573.72 / $1,207.40	Facility		$411.21	$573.72	$1,207.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $482.54 / $608.36	Professional		$321.83	$482.54	$608.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.52 / $343.40 / $1,287.04	Professional		$188.52	$343.40	$1,287.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.05 / $489.04 / $715.17	Professional		$242.05	$489.04	$715.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $442.40 / $520.50	Professional		$349.50	$442.40	$520.50