Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,511.89 / $6,760.83	Facility		$138.04	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $602.56 / $4,168.69	Professional		$83.18	$602.56	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,348.96 / $1,698.24	Professional		$204.17	$1,348.96	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $831.76 / $2,238.72	Professional		$89.13	$831.76	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,148.15 / $2,041.74	Facility		$190.55	$1,148.15	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,412.54 / $2,398.83	Professional		$239.88	$1,412.54	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,230.27 / $1,737.80	Professional		$190.55	$1,230.27	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,862.09	Professional		$239.88	$239.88	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $512.86 / $1,148.15	Professional		$81.28	$512.86	$1,148.15
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 $107.15 / $645.65 / $1,862.09	Professional		$107.15	$645.65	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $1,174.90	Professional		$154.88	$186.21	$1,174.90