Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $5,128.61 / $7,943.28	Facility		$194.98	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $660.69	Professional		$114.82	$194.98	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $354.81	Professional		$288.40	$316.23	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $524.81	Professional		$128.82	$234.42	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,090.30 / $9,549.93	Facility		$234.42	$3,090.30	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $1,071.52	Professional		$144.54	$269.15	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $575.44	Professional		$295.12	$316.23	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $354.81	Professional		$263.03	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $263.03 / $331.13	Professional		$3.02	$263.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,413.10 / $10,232.93	Facility		$4,677.35	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $398.11	Professional		$141.25	$218.78	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $295.12	Professional		$251.19	$251.19	$295.12