Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,235.94 / $6,760.83	Facility		$436.52	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $660.69	Professional		$234.42	$302.00	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $758.58	Professional		$616.60	$616.60	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $1,096.48	Professional		$263.03	$478.63	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,691.53 / $9,332.54	Facility		$478.63	$2,691.53	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $3,162.28	Professional		$309.03	$537.03	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $954.99	Professional		$575.44	$630.96	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $707.95	Professional		$501.19	$707.95	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $524.81 / $660.69	Professional		$5.01	$524.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $9,332.54	Facility		$3,162.28	$5,495.41	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $831.76	Professional		$281.84	$436.52	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Professional		$501.19	$501.19	$588.84