Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $115.50 / $115.50	Facility		$115.50	$115.50	$115.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $132.86 / $393.60	Professional		$82.48	$132.86	$393.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.53 / $196.50 / $255.00	Professional		$158.53	$196.50	$255.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $158.46 / $271.33	Professional		$84.43	$158.46	$271.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $213.47 / $8,165.52	Facility		$157.19	$213.47	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $199.21 / $1,500.00	Professional		$108.54	$199.21	$1,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.99 / $259.68 / $3,093.19	Facility		$156.99	$259.68	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $173.28 / $259.68	Professional		$131.13	$173.28	$259.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $167.50 / $221.30	Professional		$3.00	$167.50	$221.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $177.00 / $276.05	Professional		$97.52	$177.00	$276.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $113.70 / $133.80	Professional		$113.70	$113.70	$133.80