Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,398.83 / $6,760.83	Facility		$263.03	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $707.95	Professional		$154.88	$323.59	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $741.31	Professional		$316.23	$478.63	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $512.86	Professional		$165.96	$323.59	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $3,388.44	Facility		$190.55	$316.23	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $1,288.25	Professional		$199.53	$389.05	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $630.96	Professional		$288.40	$426.58	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $691.83	Professional		$204.17	$467.74	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $691.83	Professional		$190.55	$407.38	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,951.21 / $7,413.10	Facility		$177.83	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $467.74	Professional		$151.36	$263.03	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $389.05	Professional		$223.87	$263.03	$389.05