Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,511.89 / $6,760.83	Facility		$213.80	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $501.19	Professional		$123.03	$199.53	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $602.56	Professional		$134.90	$302.00	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $524.81	Professional		$123.03	$275.42	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $316.23 / $1,023.29	Facility		$151.36	$316.23	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $1,548.82	Professional		$208.93	$380.19	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $537.03	Professional		$275.42	$338.84	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $549.54	Professional		$257.04	$338.84	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $363.08 / $537.03	Professional		$5.01	$363.08	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $2,344.23	Facility		$691.83	$1,348.96	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $457.09	Professional		$134.90	$229.09	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $467.74	Professional		$245.47	$302.00	$467.74