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 $104.71 / $169.82 / $363.08	Professional		$104.71	$169.82	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $489.78	Professional		$114.82	$257.04	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $309.03	Professional		$107.15	$229.09	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $1,230.27	Facility		$138.04	$269.15	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $1,318.26	Professional		$181.97	$331.13	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $489.78	Professional		$199.53	$323.59	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $346.74 / $416.87	Professional		$5.01	$346.74	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,344.23	Facility		$831.76	$1,412.54	$2,344.23
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 $208.93 / $257.04 / $398.11	Professional		$208.93	$257.04	$398.11