Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,238.72 / $6,456.54	Facility		$93.33	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $208.93 / $741.31	Professional		$36.31	$208.93	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $208.93 / $549.54	Professional		$44.67	$208.93	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $288.40 / $1,023.29	Professional		$36.31	$288.40	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $269.15 / $794.33	Facility		$47.86	$269.15	$794.33
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	52	$134.90	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $1,659.59	Professional		$199.53	$426.58	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $407.38 / $616.60	Professional		$87.10	$407.38	$616.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $407.38 / $645.65	Professional		$97.72	$407.38	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $331.13 / $645.65	Professional		$3.98	$331.13	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,202.26 / $2,344.23	Facility		$457.09	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $194.98 / $524.81	Professional		$43.65	$194.98	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $501.19	Professional		$72.44	$87.10	$501.19