Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $2,238.72 / $6,025.60	Facility		$87.10	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $288.40	Professional		$51.29	$100.00	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $281.84	Professional		$56.23	$141.25	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $138.04 / $302.00	Professional		$52.48	$138.04	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $1,698.24	Facility		$74.13	$144.54	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $724.44	Professional		$107.15	$204.17	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $263.03	Professional		$125.89	$177.83	$263.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $275.42	Professional		$109.65	$208.93	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $208.93	Professional		$48.98	$97.72	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $4,897.79	Facility		$1,096.48	$2,137.96	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $239.88	Professional		$60.26	$117.49	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $213.80	Professional		$102.33	$125.89	$213.80