Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,570.40 / $6,760.83	Facility		$245.47	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $602.56	Professional		$154.88	$204.17	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $478.63	Professional		$380.19	$407.38	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $691.83	Professional		$165.96	$295.12	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $416.87 / $1,949.84	Facility		$190.55	$416.87	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $912.01	Professional		$204.17	$354.81	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $602.56	Professional		$281.84	$371.54	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $467.74	Professional		$457.09	$467.74	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
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 $181.97 / $275.42 / $549.54	Professional		$181.97	$275.42	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Professional		$331.13	$331.13	$389.05