Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,511.89 / $6,760.83	Facility		$229.09	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $407.38	Professional		$125.89	$173.78	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $446.68	Professional		$138.04	$323.59	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $446.68	Professional		$128.82	$239.88	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $302.00 / $1,230.27	Facility		$147.91	$302.00	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $1,288.25	Professional		$181.97	$346.74	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $446.68	Professional		$263.03	$363.08	$446.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $467.74	Professional		$245.47	$323.59	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $346.74 / $457.09	Professional		$5.01	$346.74	$457.09
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 $141.25 / $213.80 / $416.87	Professional		$141.25	$213.80	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $389.05	Professional		$263.03	$309.03	$389.05