Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $6,760.83	Facility		$446.68	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $794.33	Professional		$245.47	$354.81	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $676.08 / $870.96	Professional		$295.12	$676.08	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,380.38	Professional		$213.80	$354.81	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,023.29 / $9,549.93	Facility		$512.86	$1,023.29	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $3,162.28	Professional		$380.19	$741.31	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $912.01	Professional		$602.56	$676.08	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $616.60	Professional		$218.78	$398.11	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $870.96	Professional		$295.12	$524.81	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $645.65	Professional		$436.52	$549.54	$645.65