Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,511.89 / $6,760.83	Facility		$181.97	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $676.08	Professional		$107.15	$204.17	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $501.19	Professional		$125.89	$269.15	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $467.74	Professional		$107.15	$275.42	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $269.15 / $660.69	Facility		$134.90	$269.15	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $1,548.82	Professional		$199.53	$363.08	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $512.86	Professional		$245.47	$316.23	$512.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $562.34	Professional		$204.17	$338.84	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $467.74	Professional		$112.20	$239.88	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,202.26 / $2,344.23	Facility		$457.09	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $436.52	Professional		$117.49	$213.80	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $467.74	Professional		$213.80	$263.03	$467.74