Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,511.89 / $6,760.83	Facility		$371.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $758.58	Professional		$208.93	$338.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $870.96	Professional		$239.88	$512.86	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $588.84	Professional		$208.93	$446.68	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $3,388.44	Facility		$275.42	$537.03	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $2,630.27	Professional		$354.81	$630.96	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $870.96	Professional		$489.78	$602.56	$870.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $954.99	Professional		$407.38	$588.84	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $630.96 / $933.25	Professional		$5.01	$630.96	$933.25
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 $239.88 / $389.05 / $794.33	Professional		$239.88	$389.05	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $812.83	Professional		$436.52	$537.03	$812.83