Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,511.89 / $6,760.83	Facility		$371.54	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $676.08	Professional		$218.78	$338.84	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $537.03 / $870.96	Professional		$234.42	$537.03	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $478.63 / $1,122.02	Professional		$213.80	$478.63	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $562.34 / $3,630.78	Facility		$288.40	$562.34	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $2,454.71	Professional		$354.81	$676.08	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $870.96	Professional		$549.54	$707.95	$870.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $891.25	Professional		$457.09	$707.95	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $741.31 / $870.96	Professional		$5.01	$741.31	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $6,309.57	Facility		$2,041.74	$4,073.80	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $794.33	Professional		$263.03	$426.58	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $758.58	Professional		$436.52	$512.86	$758.58