Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $287.10 / $1,497.35	Facility		$49.03	$287.10	$1,497.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $591.05 / $790.17	Professional		$25.81	$591.05	$790.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $978.75 / $1,960.84	Professional		$41.63	$978.75	$1,960.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $762.17 / $1,368.70	Professional		$31.65	$762.17	$1,368.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $724.26 / $1,405.14	Facility		$34.42	$724.26	$1,405.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $1,047.61 / $2,945.89	Professional		$222.74	$1,047.61	$2,945.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $1,039.73 / $1,960.84	Facility		$50.46	$1,039.73	$1,960.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $1,039.73 / $1,960.84	Professional		$50.46	$1,039.73	$1,960.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $724.08 / $1,557.23	Professional		$33.01	$724.08	$1,557.23
United Facility/Professional Professional Modifier Low / Median / High Price $724.26 / $1,047.61 / $1,601.65	Professional		$724.26	$1,047.61	$1,601.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $50.70 / $1,208.30	Professional		$41.80	$50.70	$1,208.30