Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,511.89 / $6,760.83	Facility		$331.13	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $602.56	Professional		$181.97	$288.40	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $467.74 / $851.14	Professional		$194.98	$467.74	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $870.96	Professional		$181.97	$389.05	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $446.68 / $3,388.44	Facility		$204.17	$446.68	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $2,290.87	Professional		$251.19	$524.81	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $758.58	Professional		$380.19	$537.03	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $489.78 / $870.96	Professional		$223.87	$489.78	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $562.34 / $870.96	Professional		$5.01	$562.34	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $6,309.57	Facility		$2,041.74	$4,073.80	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $645.65	Professional		$190.55	$323.59	$645.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $691.83	Professional		$371.54	$457.09	$691.83