Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,238.72 / $5,888.44	Facility		$181.97	$2,238.72	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $1,096.48	Professional		$162.18	$416.87	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $1,000.00	Professional		$338.84	$426.58	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $501.19 / $1,071.52	Professional		$151.36	$501.19	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $831.76 / $8,128.31	Facility		$331.13	$831.76	$8,128.31
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	53	$138.04	$138.04	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,584.89	Professional		$323.59	$512.86	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $891.25	Professional		$331.13	$501.19	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $977.24	Professional		$371.54	$407.38	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $616.60 / $1,000.00	Professional		$3.98	$616.60	$1,000.00
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 $186.21 / $354.81 / $741.31	Professional		$186.21	$354.81	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $758.58	Professional		$288.40	$338.84	$758.58