Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,884.03 / $5,011.87	Facility		$151.36	$2,884.03	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $1,047.13	Professional		$91.20	$239.88	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $707.95	Professional		$223.87	$524.81	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $354.81 / $891.25	Professional		$97.72	$354.81	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $588.84 / $5,128.61	Facility		$208.93	$588.84	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $912.01	Professional		$245.47	$436.52	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $645.65	Professional		$208.93	$457.09	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $660.69	Professional		$263.03	$263.03	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $354.81 / $645.65	Professional		$3.02	$354.81	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $602.56	Professional		$117.49	$275.42	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $501.19	Professional		$173.78	$204.17	$501.19