Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,398.83 / $6,760.83	Facility		$257.04	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $1,258.93	Professional		$190.55	$371.54	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $831.76	Professional		$426.58	$602.56	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $645.65	Professional		$181.97	$436.52	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $691.83 / $4,897.79	Facility		$302.00	$691.83	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,348.96	Professional		$316.23	$512.86	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $776.25	Professional		$398.11	$489.78	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $776.25	Professional		$380.19	$501.19	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $602.56 / $758.58	Professional		$5.01	$602.56	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $707.95	Professional		$218.78	$389.05	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $630.96	Professional		$354.81	$416.87	$630.96