Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $5,370.32 / $7,943.28	Facility		$281.84	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $288.40	Professional		$158.49	$218.78	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $524.81	Professional		$416.87	$436.52	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $2,754.23	Professional		$162.18	$302.00	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $478.63 / $6,606.93	Facility		$208.93	$478.63	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $616.60	Professional		$165.96	$302.00	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $478.63	Professional		$208.93	$398.11	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $501.19	Professional		$316.23	$478.63	$501.19
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 $151.36 / $245.47 / $436.52	Professional		$151.36	$245.47	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90