Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,511.89 / $6,760.83	Facility		$288.40	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $645.65	Professional		$165.96	$323.59	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $977.24	Professional		$234.42	$489.78	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $776.25	Professional		$151.36	$309.03	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $741.31 / $5,623.41	Facility		$363.08	$741.31	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,230.27	Professional		$363.08	$630.96	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $891.25	Professional		$389.05	$707.95	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $676.08	Professional		$144.54	$316.23	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $6,309.57	Facility		$1,819.70	$3,981.07	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $776.25	Professional		$190.55	$389.05	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $724.44	Professional		$309.03	$363.08	$724.44