Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,511.89 / $6,760.83	Facility		$213.80	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $331.13	Professional		$125.89	$173.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $512.86	Professional		$229.09	$389.05	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $512.86	Professional		$128.82	$213.80	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $371.54 / $4,677.35	Facility		$199.53	$371.54	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $1,000.00	Professional		$186.21	$346.74	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $478.63	Professional		$302.00	$363.08	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $478.63	Professional		$251.19	$346.74	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $363.08	Professional		$125.89	$229.09	$363.08
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 $138.04 / $223.87 / $436.52	Professional		$138.04	$223.87	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $398.11	Professional		$257.04	$302.00	$398.11