Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,818.38 / $6,025.60	Facility		$302.00	$2,818.38	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $912.01	Professional		$173.78	$288.40	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $724.44	Professional		$407.38	$537.03	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $851.14	Professional		$186.21	$346.74	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $8,128.31	Facility		$338.84	$575.44	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $758.58	Professional		$251.19	$416.87	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $676.08	Professional		$363.08	$467.74	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $645.65	Professional		$338.84	$501.19	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $380.19 / $660.69	Professional		$3.02	$380.19	$660.69
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 $199.53 / $316.23 / $562.34	Professional		$199.53	$316.23	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $549.54	Professional		$354.81	$426.58	$549.54