Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,981.07 / $6,760.83	Facility		$309.03	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $630.96	Professional		$229.09	$263.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $724.44	Professional		$562.34	$602.56	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $1,096.48	Professional		$251.19	$436.52	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,951.21 / $8,709.64	Facility		$457.09	$2,951.21	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $2,818.38	Professional		$288.40	$489.78	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $933.25	Professional		$549.54	$616.60	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $691.83	Professional		$478.63	$676.08	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $478.63 / $645.65	Professional		$6.03	$478.63	$645.65
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 $263.03 / $398.11 / $741.31	Professional		$263.03	$398.11	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $562.34	Professional		$478.63	$478.63	$562.34