Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,090.30 / $6,760.83	Facility		$239.88	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.54 / $912.01	Professional		$154.88	$371.54	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,071.52	Professional		$371.54	$467.74	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $630.96 / $1,122.02	Professional		$162.18	$630.96	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $912.01 / $3,467.37	Facility		$371.54	$912.01	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,778.28	Professional		$398.11	$724.44	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $1,047.13	Professional		$363.08	$794.33	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $1,071.52	Professional		$316.23	$436.52	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $741.31 / $1,047.13	Professional		$3.02	$741.31	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $4,897.79	Facility		$1,288.25	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $977.24	Professional		$190.55	$446.68	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $812.83	Professional		$316.23	$371.54	$812.83