Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,511.89 / $6,760.83	Facility		$194.98	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $776.25	Professional		$131.83	$323.59	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,122.02	Professional		$295.12	$575.44	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $501.19 / $676.08	Professional		$151.36	$501.19	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $1,621.81	Facility		$263.03	$575.44	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,412.54	Professional		$309.03	$562.34	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $912.01	Professional		$263.03	$575.44	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $1,000.00	Professional		$257.04	$363.08	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $588.84 / $1,000.00	Professional		$5.01	$588.84	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,202.26 / $2,344.23	Facility		$512.86	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $346.74 / $812.83	Professional		$154.88	$346.74	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $812.83	Professional		$245.47	$288.40	$812.83