Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,162.28 / $7,413.10	Facility		$363.08	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $812.83	Professional		$131.83	$223.87	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $645.65	Professional		$144.54	$316.23	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $549.54	Professional		$131.83	$288.40	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $346.74 / $5,495.41	Facility		$169.82	$346.74	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $1,621.81	Professional		$223.87	$407.38	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $575.44	Professional		$302.00	$363.08	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $588.84	Professional		$275.42	$426.58	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $575.44	Professional		$234.42	$478.63	$575.44
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 $147.91 / $251.19 / $501.19	Professional		$147.91	$251.19	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $489.78	Professional		$263.03	$323.59	$489.78