Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,570.40 / $6,760.83	Facility		$213.80	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $371.54	Professional		$134.90	$169.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $436.52	Professional		$346.74	$346.74	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $575.44	Professional		$147.91	$257.04	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,819.70 / $6,606.93	Facility		$263.03	$1,819.70	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $2,137.96	Professional		$169.82	$323.59	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $524.81	Professional		$323.59	$346.74	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $398.11	Professional		$281.84	$398.11	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $309.03 / $426.58	Professional		$3.02	$309.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $467.74	Professional		$158.49	$251.19	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $338.84	Professional		$288.40	$288.40	$338.84