Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $251.19	Professional		$93.33	$100.00	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $288.40	Professional		$229.09	$245.47	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $776.25	Professional		$100.00	$177.83	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $6,606.93	Facility		$131.83	$251.19	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $1,621.81	Professional		$117.49	$213.80	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $380.19	Professional		$186.21	$245.47	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $269.15	Professional		$186.21	$263.03	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $251.19	Professional		$190.55	$208.93	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $316.23	Professional		$109.65	$165.96	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Professional		$190.55	$190.55	$223.87