Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,290.87 / $6,456.54	Facility		$162.18	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $389.05 / $2,398.83	Professional		$75.86	$389.05	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $1,122.02	Professional		$186.21	$229.09	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $549.54 / $1,584.89	Professional		$81.28	$549.54	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $812.83 / $1,621.81	Facility		$154.88	$812.83	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $933.25 / $1,621.81	Professional		$218.78	$933.25	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $812.83 / $1,202.26	Professional		$173.78	$812.83	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,230.27	Professional		$218.78	$218.78	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $331.13 / $758.58	Professional		$74.13	$331.13	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $426.58 / $1,258.93	Professional		$100.00	$426.58	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $776.25	Professional		$144.54	$169.82	$776.25