Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $478.63	Professional		$177.83	$239.88	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $616.60	Professional		$295.12	$426.58	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $1,071.52	Professional		$190.55	$269.15	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $457.09 / $1,819.70	Facility		$204.17	$457.09	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $1,258.93	Professional		$213.80	$436.52	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $660.69	Professional		$389.05	$501.19	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $524.81	Professional		$436.52	$436.52	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $181.97 / $380.19	Professional		$51.29	$181.97	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $24,547.09	Facility		$1,148.15	$1,949.84	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $602.56	Professional		$204.17	$354.81	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $446.68	Professional		$295.12	$380.19	$446.68