Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,235.94 / $6,760.83	Facility		$407.38	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $691.83	Professional		$251.19	$316.23	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $776.25	Professional		$630.96	$660.69	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $1,071.52	Professional		$275.42	$489.78	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,073.80 / $13,803.84	Facility		$512.86	$4,073.80	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $2,041.74	Professional		$323.59	$562.34	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,000.00	Professional		$602.56	$660.69	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $741.31	Professional		$524.81	$724.44	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $524.81 / $676.08	Professional		$3.02	$524.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $14,125.38	Facility		$4,365.16	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $870.96	Professional		$295.12	$467.74	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $616.60	Professional		$524.81	$524.81	$616.60