Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,238.72 / $6,456.54	Facility		$281.84	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $831.76	Professional		$91.20	$213.80	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $501.19	Professional		$213.80	$371.54	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $269.15 / $416.87	Professional		$93.33	$269.15	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $1,621.81	Facility		$177.83	$416.87	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $660.69	Professional		$181.97	$309.03	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $426.58	Professional		$199.53	$295.12	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $457.09	Professional		$213.80	$229.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $407.38 / $489.78	Professional		$5.01	$407.38	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,344.23	Facility		$1,000.00	$1,584.89	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $416.87	Professional		$100.00	$199.53	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $380.19	Professional		$173.78	$204.17	$380.19