Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,090.30 / $6,760.83	Facility		$281.84	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $912.01	Professional		$158.49	$213.80	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $660.69	Professional		$371.54	$501.19	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $741.31	Professional		$169.82	$323.59	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $8,128.31	Facility		$316.23	$524.81	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $707.95	Professional		$234.42	$389.05	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $630.96	Professional		$338.84	$426.58	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $602.56	Professional		$309.03	$457.09	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $354.81 / $616.60	Professional		$3.02	$354.81	$616.60
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 $181.97 / $288.40 / $524.81	Professional		$181.97	$288.40	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $512.86	Professional		$331.13	$389.05	$512.86