Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,398.83 / $6,760.83	Facility		$229.09	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $812.83	Professional		$138.04	$229.09	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $524.81	Professional		$141.25	$323.59	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $537.03	Professional		$131.83	$263.03	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $691.83	Facility		$165.96	$323.59	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $1,445.44	Professional		$199.53	$371.54	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $512.86	Professional		$302.00	$371.54	$512.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $524.81	Professional		$269.15	$371.54	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $407.38 / $512.86	Professional		$5.01	$407.38	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,202.26 / $2,344.23	Facility		$436.52	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $446.68	Professional		$147.91	$234.42	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $436.52	Professional		$269.15	$316.23	$436.52