Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,238.72 / $6,025.60	Facility		$144.54	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $426.58	Professional		$85.11	$147.91	$426.58
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 $100.00 / $245.47 / $616.60	Professional		$100.00	$245.47	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $302.00 / $416.87	Professional		$85.11	$302.00	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $2,951.21	Facility		$114.82	$251.19	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $1,862.09	Professional		$144.54	$269.15	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $616.60	Professional		$186.21	$288.40	$616.60
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 $173.78 / $263.03 / $588.84	Professional		$173.78	$263.03	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $288.40 / $707.95	Professional		$5.01	$288.40	$707.95
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 $97.72 / $162.18 / $338.84	Professional		$97.72	$162.18	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $575.44	Professional		$169.82	$204.17	$575.44