Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,090.30 / $6,760.83	Facility		$177.83	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $512.86	Professional		$134.90	$194.98	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $602.56	Professional		$316.23	$426.58	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $1,047.13	Professional		$151.36	$275.42	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $8,128.31	Facility		$251.19	$467.74	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $1,445.44	Professional		$186.21	$331.13	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $512.86	Professional		$288.40	$363.08	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $524.81	Professional		$263.03	$389.05	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $288.40 / $549.54	Professional		$3.02	$288.40	$549.54
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 $154.88 / $239.88 / $436.52	Professional		$154.88	$239.88	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $457.09	Professional		$281.84	$331.13	$457.09