Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,290.87 / $6,456.54	Facility		$223.87	$2,290.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $676.08	Professional		$109.65	$213.80	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $501.19	Professional		$128.82	$275.42	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $478.63	Professional		$109.65	$281.84	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $2,884.03	Facility		$141.25	$288.40	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $1,584.89	Professional		$199.53	$363.08	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $575.44	Professional		$213.80	$346.74	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $489.78	Professional		$114.82	$245.47	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $6,309.57	Facility		$1,778.28	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $446.68	Professional		$120.23	$213.80	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $478.63	Professional		$218.78	$269.15	$478.63