Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,412.54 / $5,370.32	Facility		$91.20	$1,412.54	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $524.81	Professional		$44.67	$125.89	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $194.98	Professional		$123.03	$158.49	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $2,344.23	Professional		$131.83	$154.88	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $562.34 / $3,548.13	Facility		$70.79	$562.34	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $2,041.74	Professional		$151.36	$316.23	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $436.52	Professional		$218.78	$218.78	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $436.52	Professional		$158.49	$218.78	$436.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,897.79	Facility		$1,513.56	$2,290.87	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $269.15	Professional		$181.97	$229.09	$269.15