Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,951.21 / $6,025.60	Facility		$120.23	$2,951.21	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $512.86	Professional		$70.79	$173.78	$512.86
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 $85.11 / $204.17 / $562.34	Professional		$85.11	$204.17	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $275.42 / $457.09	Professional		$69.18	$275.42	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $288.40 / $2,398.83	Facility		$93.33	$288.40	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $1,548.82	Professional		$190.55	$354.81	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $575.44	Professional		$162.18	$338.84	$575.44
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 $134.90 / $316.23 / $588.84	Professional		$134.90	$316.23	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $223.87 / $501.19	Professional		$75.86	$223.87	$501.19
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 $81.28 / $199.53 / $467.74	Professional		$81.28	$199.53	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $467.74	Professional		$141.25	$169.82	$467.74