Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,511.89 / $6,760.83	Facility		$186.21	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $691.83	Professional		$141.25	$181.97	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $537.03	Professional		$331.13	$426.58	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $407.38	Professional		$154.88	$257.04	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $8,128.31	Facility		$229.09	$416.87	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $1,148.15	Professional		$186.21	$346.74	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $501.19	Professional		$302.00	$363.08	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $478.63	Professional		$269.15	$407.38	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $281.84 / $489.78	Professional		$3.02	$281.84	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,309.57 / $8,912.51	Facility		$4,265.80	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $446.68	Professional		$162.18	$239.88	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $407.38	Professional		$295.12	$346.74	$407.38