Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $5,370.32 / $7,943.28	Facility		$316.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $346.74	Professional		$109.65	$223.87	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $891.25	Professional		$436.52	$707.95	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $512.86 / $2,570.40	Professional		$162.18	$512.86	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $537.03 / $6,606.93	Facility		$208.93	$537.03	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $616.60	Professional		$169.82	$302.00	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $549.54	Professional		$208.93	$416.87	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $549.54	Professional		$316.23	$512.86	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $457.09	Professional		$158.49	$251.19	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90