Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $4,786.30 / $7,079.46	Facility		$346.74	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $588.84	Professional		$218.78	$269.15	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $676.08	Professional		$537.03	$562.34	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $912.01	Professional		$234.42	$426.58	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,951.21 / $9,332.54	Facility		$416.87	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $1,778.28	Professional		$275.42	$489.78	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $851.14	Professional		$512.86	$562.34	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $630.96	Professional		$457.09	$630.96	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $457.09 / $588.84	Professional		$3.02	$457.09	$588.84
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 $257.04 / $407.38 / $758.58	Professional		$257.04	$407.38	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Professional		$457.09	$457.09	$537.03