Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $1,819.70	Professional		$107.15	$245.47	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,995.26 / $2,511.89	Professional		$562.34	$1,995.26	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $501.19 / $575.44	Professional		$151.36	$501.19	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $2,187.76	Facility		$229.09	$426.58	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,187.76 / $2,951.21	Professional		$524.81	$2,187.76	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $562.34	Professional		$229.09	$229.09	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $602.56	Professional		$446.68	$501.19	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $275.42	Facility		$2.19	$2.19	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,630.27	Professional		$2,187.76	$2,187.76	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,148.15	Professional		$912.01	$1,148.15	$1,148.15