Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $6,760.83	Facility		$602.56	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $1,174.90	Professional		$229.09	$354.81	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $691.83	Professional		$549.54	$575.44	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $1,202.26	Professional		$239.88	$436.52	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,951.21 / $9,332.54	Facility		$446.68	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $2,089.30	Professional		$288.40	$501.19	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $870.96	Professional		$537.03	$575.44	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $645.65	Professional		$467.74	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $501.19 / $691.83	Professional		$5.01	$501.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $776.25	Professional		$263.03	$416.87	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $549.54	Professional		$467.74	$467.74	$549.54