Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,511.89 / $6,760.83	Facility		$194.98	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $660.69	Professional		$112.20	$177.83	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $467.74	Professional		$120.23	$275.42	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $457.09	Professional		$112.20	$213.80	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $3,235.94	Facility		$138.04	$269.15	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $1,174.90	Professional		$162.18	$309.03	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $416.87	Professional		$257.04	$316.23	$416.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $426.58	Professional		$223.87	$316.23	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $338.84 / $416.87	Professional		$5.01	$338.84	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,548.13 / $5,128.61	Facility		$1,584.89	$3,548.13	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $363.08	Professional		$123.03	$194.98	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $354.81	Professional		$229.09	$269.15	$354.81