Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,511.89 / $6,760.83	Facility		$208.93	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $524.81	Professional		$138.04	$281.84	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $912.01	Professional		$213.80	$436.52	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $457.09 / $1,047.13	Professional		$144.54	$457.09	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $630.96 / $1,288.25	Facility		$295.12	$630.96	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $2,344.23	Professional		$354.81	$660.69	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $851.14	Professional		$354.81	$660.69	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $851.14	Professional		$309.03	$602.56	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $309.03 / $691.83	Professional		$138.04	$309.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $870.96	Professional		$186.21	$380.19	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $691.83	Professional		$275.42	$331.13	$691.83