Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,981.07 / $6,760.83	Facility		$239.88	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $426.58	Professional		$154.88	$194.98	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $478.63	Professional		$316.23	$380.19	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $630.96	Professional		$158.49	$239.88	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $1,949.84	Facility		$239.88	$389.05	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $3,235.94	Professional		$173.78	$331.13	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $457.09	Professional		$371.54	$416.87	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $457.09	Professional		$323.59	$331.13	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $371.54	Professional		$158.49	$281.84	$371.54
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 $165.96 / $251.19 / $501.19	Professional		$165.96	$251.19	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $389.05	Professional		$263.03	$331.13	$389.05