Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,570.40 / $6,760.83	Facility		$346.74	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $616.60	Professional		$218.78	$281.84	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $676.08	Professional		$446.68	$549.54	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $1,122.02	Professional		$229.09	$346.74	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $1,949.84	Facility		$346.74	$562.34	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $2,754.23	Professional		$251.19	$489.78	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $660.69	Professional		$537.03	$588.84	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $660.69	Professional		$501.19	$501.19	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $524.81	Professional		$223.87	$398.11	$524.81
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 $234.42 / $354.81 / $707.95	Professional		$234.42	$354.81	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $549.54	Professional		$371.54	$467.74	$549.54