Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,981.07 / $6,760.83	Facility		$416.87	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $707.95	Professional		$263.03	$331.13	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $812.83	Professional		$660.69	$676.08	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,318.26	Professional		$288.40	$501.19	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,951.21 / $9,332.54	Facility		$537.03	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $2,137.96	Professional		$338.84	$588.84	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,047.13	Professional		$630.96	$691.83	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $758.58	Professional		$549.54	$758.58	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $549.54 / $707.95	Professional		$3.02	$549.54	$707.95
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 $309.03 / $489.78 / $912.01	Professional		$309.03	$489.78	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Professional		$549.54	$549.54	$645.65