Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,511.89 / $6,760.83	Facility		$281.84	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $870.96	Professional		$158.49	$245.47	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $630.96	Professional		$169.82	$389.05	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $616.60	Professional		$158.49	$316.23	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $5,495.41	Facility		$199.53	$398.11	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,737.80	Professional		$239.88	$457.09	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $616.60	Professional		$363.08	$446.68	$616.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $630.96	Professional		$323.59	$457.09	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $489.78 / $616.60	Professional		$5.01	$489.78	$616.60
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 $177.83 / $288.40 / $537.03	Professional		$177.83	$288.40	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $524.81	Professional		$323.59	$380.19	$524.81