Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $2,818.38	Professional		$186.21	$288.40	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $562.34	Professional		$446.68	$501.19	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $1,412.54	Professional		$204.17	$354.81	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $501.19 / $5,495.41	Facility		$245.47	$501.19	$5,495.41
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $1,230.27	Professional		$234.42	$436.52	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $831.76	Professional		$467.74	$501.19	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $588.84	Professional		$416.87	$588.84	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $537.03	Professional		$275.42	$457.09	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $7,244.36	Facility		$2,691.53	$5,011.87	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $645.65	Professional		$218.78	$331.13	$645.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $501.19	Professional		$426.58	$426.58	$501.19