Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $6,918.31	Facility		$602.56	$4,466.84	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $1,071.52	Professional		$194.98	$302.00	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $588.84	Professional		$478.63	$489.78	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $758.58	Professional		$208.93	$363.08	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,819.70 / $6,165.95	Facility		$363.08	$1,819.70	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $1,949.84	Professional		$245.47	$426.58	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $741.31	Professional		$457.09	$489.78	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $549.54	Professional		$398.11	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $398.11 / $512.86	Professional		$3.02	$398.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $6,918.31	Facility		$2,754.23	$5,011.87	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $660.69	Professional		$223.87	$354.81	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Professional		$398.11	$398.11	$467.74