Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,388.44 / $6,456.54	Facility		$426.58	$3,388.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $1,230.27	Professional		$204.17	$331.13	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $758.58	Professional		$467.74	$575.44	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $446.68 / $933.25	Professional		$199.53	$446.68	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $691.83 / $6,309.57	Facility		$380.19	$691.83	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,513.56	Professional		$316.23	$524.81	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $691.83	Professional		$436.52	$537.03	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $691.83	Professional		$380.19	$537.03	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $501.19 / $660.69	Professional		$3.02	$501.19	$660.69
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 $229.09 / $398.11 / $691.83	Professional		$229.09	$398.11	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $575.44	Professional		$380.19	$446.68	$575.44