Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,570.40 / $6,760.83	Facility		$204.17	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $204.17	Professional		$112.20	$128.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $354.81	Professional		$123.03	$281.84	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $489.78	Professional		$32.36	$64.57	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $4,466.84	Facility		$123.03	$239.88	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $891.25	Professional		$125.89	$213.80	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $295.12	Professional		$199.53	$239.88	$295.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $331.13	Professional		$144.54	$218.78	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $245.47	Professional		$5.01	$5.01	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $6,309.57	Facility		$2,041.74	$4,073.80	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $331.13	Professional		$120.23	$169.82	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,479.11	Professional		$1,174.90	$1,479.11	$1,479.11