Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.47 / $757.47 / $757.47	Facility		$757.47	$757.47	$757.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $160.68 / $292.38	Professional		$140.34	$160.68	$292.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.89 / $751.79 / $773.68	Facility		$729.89	$751.79	$773.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $404.14 / $603.71	Professional		$202.23	$404.14	$603.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $281.42 / $867.58	Professional		$152.25	$281.42	$867.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.68 / $511.13 / $4,907.85	Facility		$228.68	$511.13	$4,907.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $333.37 / $3,139.84	Professional		$182.26	$333.37	$3,139.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $323.81 / $387.03 / $773.68	Facility		$323.81	$387.03	$773.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.81 / $387.03 / $817.00	Professional		$323.81	$387.03	$817.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $229.70 / $669.90	Professional		$229.70	$229.70	$669.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $6,636.04 / $8,577.44	Facility		$4,055.75	$6,636.04	$8,577.44
United Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $215.76 / $400.69	Professional		$170.40	$215.76	$400.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $295.70 / $347.90	Professional		$233.60	$295.70	$347.90