Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.68 / $291.00 / $2,848.00	Professional		$191.68	$291.00	$2,848.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.19 / $550.24 / $587.28	Professional		$440.19	$550.24	$587.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.02 / $332.88 / $1,162.76	Professional		$203.02	$332.88	$1,162.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.63 / $500.44 / $5,244.00	Facility		$246.63	$500.44	$5,244.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $100.06 / $100.06 / $100.06	Facility	AS	$100.06	$100.06	$100.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $481.07 / $1,876.09	Professional		$243.21	$481.07	$1,876.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.67 / $481.07 / $607.05	Facility		$315.67	$481.07	$607.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $481.07 / $674.72	Professional		$315.67	$481.07	$674.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $415.80 / $538.50	Professional		$254.10	$415.80	$538.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $444.59 / $642.60	Professional		$236.88	$444.59	$642.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $424.20 / $424.20 / $499.10	Professional		$424.20	$424.20	$499.10