Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,511.89 / $6,760.83	Facility		$144.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $416.87	Professional		$85.11	$194.98	$416.87
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 $102.33 / $245.47 / $512.86	Professional		$102.33	$245.47	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $288.40 / $602.56	Professional		$85.11	$288.40	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $2,951.21	Facility		$123.03	$302.00	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $1,548.82	Professional		$199.53	$371.54	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $512.86	Professional		$204.17	$398.11	$512.86
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 $181.97 / $323.59 / $575.44	Professional		$181.97	$323.59	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $501.19	Professional		$95.50	$223.87	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $6,309.57	Facility		$1,778.28	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $446.68	Professional		$100.00	$208.93	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $467.74	Professional		$173.78	$213.80	$467.74