Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,511.89 / $6,760.83	Facility		$186.21	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $575.44	Professional		$107.15	$158.49	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $436.52	Professional		$112.20	$263.03	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $426.58	Professional		$104.71	$204.17	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $3,388.44	Facility		$131.83	$245.47	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $1,096.48	Professional		$154.88	$288.40	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $371.54	Professional		$245.47	$281.84	$371.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $398.11	Professional		$213.80	$295.12	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $346.74 / $389.05	Professional		$5.01	$346.74	$389.05
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 $117.49 / $186.21 / $346.74	Professional		$117.49	$186.21	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $331.13	Professional		$213.80	$251.19	$331.13