Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,344.23 / $6,760.83	Facility		$162.18	$2,344.23	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $416.87	Professional		$93.33	$194.98	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $269.15 / $549.54	Professional		$112.20	$269.15	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $288.40 / $794.33	Professional		$93.33	$288.40	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $2,398.83	Facility		$141.25	$281.84	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $1,548.82	Professional		$218.78	$398.11	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $575.44	Professional		$229.09	$389.05	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $575.44	Professional		$263.03	$407.38	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $467.74	Professional		$89.13	$199.53	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $6,309.57	Facility		$1,412.54	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $489.78	Professional		$109.65	$229.09	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $478.63	Professional		$186.21	$229.09	$478.63