Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,290.87 / $6,760.83	Facility		$181.97	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $758.58	Professional		$104.71	$199.53	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $489.78	Professional		$114.82	$251.19	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $478.63	Professional		$104.71	$251.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $1,230.27	Facility		$144.54	$269.15	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $1,380.38	Professional		$181.97	$331.13	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $467.74	Professional		$245.47	$323.59	$467.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $501.19	Professional		$213.80	$331.13	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $354.81 / $501.19	Professional		$5.01	$354.81	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,344.23	Facility		$831.76	$1,412.54	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $407.38	Professional		$114.82	$204.17	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $426.58	Professional		$208.93	$257.04	$426.58