Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,370.32 / $7,943.28	Facility		$389.05	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $588.84	Professional		$213.80	$269.15	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $512.86 / $645.65	Professional		$251.19	$512.86	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $912.01	Professional		$218.78	$407.38	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $2,137.96	Facility		$245.47	$446.68	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $4,365.16	Professional		$251.19	$446.68	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $645.65	Professional		$446.68	$549.54	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $660.69	Professional		$436.52	$478.63	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $562.34	Professional		$239.88	$426.58	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $660.69	Professional		$245.47	$354.81	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $549.54	Professional		$371.54	$467.74	$549.54