Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,290.87 / $6,456.54	Facility		$269.15	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $489.78	Professional		$125.89	$213.80	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $575.44	Professional		$309.03	$389.05	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $691.83	Professional		$151.36	$316.23	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $5,495.41	Facility		$295.12	$489.78	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $1,122.02	Professional		$229.09	$371.54	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $524.81	Professional		$295.12	$363.08	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $524.81	Professional		$251.19	$346.74	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $354.81 / $512.86	Professional		$3.02	$354.81	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $478.63	Professional		$151.36	$269.15	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $436.52	Professional		$251.19	$295.12	$436.52