Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,122.02 / $5,370.32	Facility		$128.82	$1,122.02	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $1,737.80	Professional		$79.43	$346.74	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $851.14 / $1,071.52	Professional		$190.55	$851.14	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $457.09 / $1,023.29	Professional		$83.18	$457.09	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $933.25 / $3,235.94	Facility		$194.98	$933.25	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $812.83 / $1,412.54	Professional		$223.87	$812.83	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $776.25 / $1,096.48	Professional		$181.97	$776.25	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $1,148.15	Professional		$223.87	$223.87	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $691.83 / $1,047.13	Professional		$3.02	$691.83	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $398.11 / $1,122.02	Professional		$102.33	$398.11	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $741.31	Professional		$147.91	$173.78	$741.31