Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,238.72 / $6,456.54	Facility		$436.52	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $616.60	Professional		$162.18	$281.84	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $758.58	Professional		$398.11	$489.78	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $398.11 / $588.84	Professional		$151.36	$398.11	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $602.56 / $7,943.28	Facility		$281.84	$602.56	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $1,230.27	Professional		$257.04	$478.63	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $707.95	Professional		$363.08	$446.68	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $724.44	Professional		$338.84	$457.09	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $588.84 / $724.44	Professional		$5.01	$588.84	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $8,709.64	Facility		$3,162.28	$5,495.41	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $645.65	Professional		$190.55	$331.13	$645.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $575.44	Professional		$316.23	$371.54	$575.44