Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,290.87 / $6,456.54	Facility		$602.56	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $851.14	Professional		$131.83	$181.97	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $446.68	Professional		$323.59	$354.81	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $630.96 / $1,202.26	Professional		$186.21	$630.96	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $812.83 / $3,890.45	Facility		$208.93	$812.83	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $1,380.38	Professional		$158.49	$288.40	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $1,412.54	Professional		$323.59	$338.84	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $707.95	Professional		$288.40	$389.05	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $407.38	Professional		$3.02	$3.02	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $4,897.79	Facility		$1,584.89	$2,951.21	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $446.68	Professional		$151.36	$229.09	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Professional		$501.19	$501.19	$588.84