Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,786.30 / $7,079.46	Facility		$354.81	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $575.44	Professional		$199.53	$257.04	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $645.65	Professional		$512.86	$562.34	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $1,445.44	Professional		$229.09	$416.87	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $6,606.93	Facility		$416.87	$588.84	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $2,454.71	Professional		$263.03	$457.09	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $891.25	Professional		$512.86	$562.34	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $645.65	Professional		$416.87	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $436.52 / $588.84	Professional		$6.03	$436.52	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $724.44	Professional		$245.47	$380.19	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Professional		$457.09	$457.09	$537.03