Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,090.30 / $6,760.83	Facility		$309.03	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $524.81	Professional		$177.83	$234.42	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $616.60	Professional		$426.58	$501.19	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $676.08	Professional		$186.21	$346.74	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $8,511.38	Facility		$302.00	$549.54	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $1,380.38	Professional		$257.04	$478.63	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $562.34	Professional		$407.38	$478.63	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $562.34	Professional		$363.08	$489.78	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $407.38 / $537.03	Professional		$3.98	$407.38	$537.03
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 $208.93 / $323.59 / $588.84	Professional		$208.93	$323.59	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $489.78	Professional		$363.08	$416.87	$489.78