Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,370.32 / $7,943.28	Facility		$380.19	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $562.34	Professional		$204.17	$251.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $630.96	Professional		$245.47	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $891.25	Professional		$213.80	$398.11	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $2,137.96	Facility		$234.42	$457.09	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $1,659.59	Professional		$245.47	$436.52	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $630.96	Professional		$416.87	$524.81	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $630.96	Professional		$389.05	$457.09	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $575.44	Professional		$295.12	$467.74	$575.44
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 $234.42 / $338.84 / $630.96	Professional		$234.42	$338.84	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $524.81	Professional		$354.81	$446.68	$524.81