Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $839.05 / $1,151.52	Professional		$25.81	$839.05	$1,151.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $1,389.38 / $2,780.91	Professional		$45.94	$1,389.38	$2,780.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $1,080.68 / $2,259.21	Professional		$31.65	$1,080.68	$2,259.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $1,057.99 / $2,031.23	Facility		$34.42	$1,057.99	$2,031.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $1,529.69 / $4,304.81	Professional		$222.74	$1,529.69	$4,304.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $1,475.90 / $2,780.91	Facility		$50.46	$1,475.90	$2,780.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $1,475.90 / $2,780.91	Professional		$50.46	$1,475.90	$2,780.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $1,030.40 / $2,216.23	Professional		$33.01	$1,030.40	$2,216.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.83 / $1,387.65 / $2,339.67	Professional		$1,091.83	$1,387.65	$2,339.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $50.70 / $1,713.80	Professional		$41.80	$50.70	$1,713.80