Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $2,784.38 / $2,784.38	Professional		$347.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $117.17 / $131.07	Professional		$94.39	$117.17	$131.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,784.38 / $5,039.72	Professional		$150.00	$2,784.38	$5,039.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $530.00 / $1,986.50	Facility		$122.11	$530.00	$1,986.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $530.00 / $673.10	Professional		$131.07	$530.00	$673.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.08 / $112.96 / $142.68	Facility		$107.08	$112.96	$142.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $122.11 / $259.77	Professional		$111.18	$122.11	$259.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $215.90 / $216.00	Professional		$177.50	$215.90	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,536.16	Professional		$2,784.38	$2,784.38	$3,536.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Facility		$530.00	$530.00	$530.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $418.70 / $530.00 / $530.00	Professional		$418.70	$530.00	$530.00