Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,380.38 / $6,456.54	Facility		$331.13	$1,380.38	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $831.76	Professional		$234.42	$346.74	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $954.99	Professional		$575.44	$724.44	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $851.14	Professional		$251.19	$501.19	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $9,549.93	Facility		$436.52	$870.96	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,995.26	Professional		$380.19	$645.65	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $912.01	Professional		$562.34	$691.83	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $912.01	Professional		$489.78	$691.83	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $812.83	Professional		$269.15	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $10,232.93	Facility		$4,365.16	$6,606.93	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $812.83	Professional		$288.40	$457.09	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $758.58	Professional		$489.78	$575.44	$758.58