Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,235.94 / $6,760.83	Facility		$218.78	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $645.65	Professional		$162.18	$213.80	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $512.86	Professional		$389.05	$416.87	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $602.56	Professional		$177.83	$316.23	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,238.72 / $7,413.10	Facility		$234.42	$2,238.72	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $1,348.96	Professional		$199.53	$338.84	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $562.34	Professional		$371.54	$398.11	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $489.78	Professional		$331.13	$489.78	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $331.13 / $467.74	Professional		$3.02	$331.13	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,762.47	Facility		$3,162.28	$5,370.32	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $501.19	Professional		$186.21	$269.15	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Professional		$346.74	$346.74	$407.38