Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,511.89 / $6,760.83	Facility		$281.84	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $1,096.48	Professional		$169.82	$275.42	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $660.69	Professional		$398.11	$512.86	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $707.95	Professional		$173.78	$354.81	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $5,495.41	Facility		$295.12	$588.84	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $691.83	Professional		$251.19	$446.68	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $602.56	Professional		$331.13	$457.09	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $588.84	Professional		$331.13	$446.68	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $436.52 / $575.44	Professional		$3.02	$436.52	$575.44
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 $190.55 / $323.59 / $575.44	Professional		$190.55	$323.59	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $501.19	Professional		$331.13	$389.05	$501.19