Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,905.46 / $5,888.44	Facility		$79.43	$1,905.46	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $707.95	Professional		$79.43	$181.97	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $457.09	Professional		$102.33	$223.87	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $645.65	Professional		$81.28	$257.04	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $281.84 / $3,981.07	Facility		$120.23	$281.84	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $2,238.72	Professional		$177.83	$338.84	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $457.09	Professional		$204.17	$309.03	$457.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $676.08	Professional		$165.96	$323.59	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $354.81 / $389.05	Professional		$5.01	$354.81	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $6,309.57	Facility		$2,137.96	$4,365.16	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $407.38	Professional		$95.50	$194.98	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $389.05	Professional		$154.88	$190.55	$389.05