Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,511.89 / $6,760.83	Facility		$138.04	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $489.78	Professional		$79.43	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $234.42 / $676.08	Professional		$93.33	$234.42	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $602.56	Professional		$79.43	$380.19	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $354.81 / $2,290.87	Facility		$107.15	$354.81	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $2,137.96	Professional		$213.80	$467.74	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $489.78 / $707.95	Professional		$186.21	$489.78	$707.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $812.83	Professional		$158.49	$457.09	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $295.12 / $660.69	Professional		$91.20	$295.12	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,162.28 / $6,309.57	Facility		$1,445.44	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $602.56	Professional		$91.20	$239.88	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $645.65	Professional		$165.96	$199.53	$645.65