Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $2,238.72 / $6,456.54	Facility		$104.71	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $331.13 / $1,023.29	Professional		$52.48	$331.13	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $1,202.26	Professional		$120.23	$147.91	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $467.74 / $691.83	Professional		$54.95	$467.74	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $812.83 / $3,235.94	Facility		$123.03	$812.83	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $660.69 / $1,778.28	Professional		$138.04	$660.69	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $758.58 / $1,122.02	Professional		$114.82	$758.58	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $1,148.15	Professional		$104.71	$141.25	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $691.83 / $1,202.26	Professional		$5.01	$691.83	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $4,897.79	Facility		$1,288.25	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $331.13 / $977.24	Professional		$63.10	$331.13	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $891.25	Professional		$102.33	$120.23	$891.25