Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $5,011.87 / $7,943.28	Facility		$331.13	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $1,023.29	Professional		$194.98	$331.13	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $691.83	Professional		$489.78	$549.54	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $954.99	Professional		$213.80	$371.54	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $8,128.31	Facility		$338.84	$602.56	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $1,621.81	Professional		$257.04	$501.19	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $676.08	Professional		$489.78	$537.03	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $660.69	Professional		$407.38	$588.84	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $467.74 / $645.65	Professional		$3.98	$467.74	$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 $229.09 / $354.81 / $630.96	Professional		$229.09	$354.81	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $562.34	Professional		$426.58	$478.63	$562.34