Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $216.00 / $726.61	Facility		$216.00	$216.00	$726.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.51 / $988.51 / $1,098.49	Professional		$988.51	$988.51	$1,098.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $371.56 / $464.45	Professional		$320.49	$371.56	$464.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $260.14 / $882.21	Professional		$141.35	$260.14	$882.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $480.40 / $7,833.11	Facility		$229.97	$480.40	$7,833.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $316.07 / $3,492.00	Professional		$177.86	$316.07	$3,492.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.64 / $365.35 / $686.17	Facility		$298.64	$365.35	$686.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $365.78 / $831.00	Professional		$298.64	$365.78	$831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $210.30 / $606.60	Professional		$210.30	$210.30	$606.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,204.86 / $6,440.00 / $9,540.74	Facility		$6,204.86	$6,440.00	$9,540.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $210.55 / $349.10	Professional		$165.94	$210.55	$349.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $272.30 / $320.39	Professional		$215.12	$272.30	$320.39