Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,511.89 / $6,760.83	Facility		$346.74	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $1,258.93	Professional		$257.04	$309.03	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $812.83	Professional		$645.65	$660.69	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $831.76	Professional		$281.84	$467.74	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,951.21 / $8,709.64	Facility		$512.86	$2,951.21	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $2,137.96	Professional		$331.13	$549.54	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $977.24	Professional		$630.96	$660.69	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $776.25	Professional		$549.54	$776.25	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $549.54 / $741.31	Professional		$3.98	$549.54	$741.31
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 $302.00 / $457.09 / $831.76	Professional		$302.00	$457.09	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Professional		$549.54	$549.54	$645.65