Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,090.30 / $6,760.83	Facility		$281.84	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $758.58	Professional		$190.55	$338.84	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $977.24	Professional		$446.68	$549.54	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $501.19 / $812.83	Professional		$194.98	$501.19	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $4,677.35	Facility		$389.05	$776.25	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,584.89	Professional		$371.54	$588.84	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $933.25	Professional		$371.54	$575.44	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $933.25	Professional		$371.54	$512.86	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $549.54 / $933.25	Professional		$3.02	$549.54	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $6,309.57	Facility		$1,288.25	$3,388.44	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $794.33	Professional		$229.09	$426.58	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $758.58	Professional		$380.19	$446.68	$758.58