Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,090.30 / $6,760.83	Facility		$275.42	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $575.44	Professional		$177.83	$239.88	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $660.69	Professional		$436.52	$537.03	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $707.95	Professional		$186.21	$371.54	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $6,309.57	Facility		$295.12	$588.84	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $1,412.54	Professional		$275.42	$501.19	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $616.60	Professional		$416.87	$501.19	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $616.60	Professional		$354.81	$501.19	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $457.09 / $588.84	Professional		$3.02	$457.09	$588.84
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 $213.80 / $346.74 / $602.56	Professional		$213.80	$346.74	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $524.81	Professional		$371.54	$436.52	$524.81