Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,090.30 / $6,760.83	Facility		$186.21	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $467.74	Professional		$107.15	$186.21	$467.74
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 $117.49 / $257.04 / $478.63	Professional		$117.49	$257.04	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $467.74	Professional		$109.65	$251.19	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $281.84 / $5,495.41	Facility		$138.04	$281.84	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $1,412.54	Professional		$181.97	$338.84	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $478.63	Professional		$251.19	$316.23	$478.63
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 $218.78 / $338.84 / $501.19	Professional		$218.78	$338.84	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $363.08 / $501.19	Professional		$5.01	$363.08	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $8,709.64	Facility		$2,570.40	$5,248.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $407.38	Professional		$120.23	$204.17	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $426.58	Professional		$213.80	$263.03	$426.58