Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $5,011.87 / $7,943.28	Facility		$123.03	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $831.76	Professional		$83.18	$177.83	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $1,819.70	Professional		$165.96	$263.03	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $616.60 / $851.14	Professional		$91.20	$616.60	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $1,949.84	Facility		$93.33	$302.00	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $741.31 / $4,677.35	Professional		$223.87	$741.31	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $676.08 / $1,862.09	Professional		$125.89	$676.08	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $426.58 / $933.25	Professional		$165.96	$426.58	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $1,445.44	Professional		$79.43	$190.55	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $1,096.48	Professional		$114.82	$257.04	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $1,548.82	Professional		$181.97	$223.87	$1,548.82