Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,511.89 / $6,760.83	Facility		$97.72	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $158.49	Professional		$56.23	$77.62	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $218.78	Professional		$60.26	$138.04	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $223.87	Professional		$56.23	$112.20	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $3,388.44	Facility		$69.18	$131.83	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $549.54	Professional		$83.18	$158.49	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $199.53	Professional		$131.83	$158.49	$199.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $208.93	Professional		$114.82	$165.96	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $186.21 / $204.17	Professional		$5.01	$186.21	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $6,309.57	Facility		$2,041.74	$4,073.80	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $186.21	Professional		$63.10	$102.33	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82