Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,570.40 / $6,760.83	Facility		$177.83	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $245.47	Professional		$97.72	$120.23	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $302.00	Professional		$112.20	$239.88	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $331.13	Professional		$100.00	$194.98	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $3,019.95	Facility		$123.03	$239.88	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $1,174.90	Professional		$112.20	$208.93	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $281.84	Professional		$204.17	$251.19	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $281.84	Professional		$208.93	$218.78	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $218.78 / $263.03	Professional		$5.01	$218.78	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $6,309.57	Facility		$1,412.54	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $302.00	Professional		$109.65	$165.96	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $234.42	Professional		$158.49	$199.53	$234.42