Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,570.40 / $6,760.83	Facility		$758.58	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,071.52	Professional		$389.05	$489.78	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,071.52 / $1,348.96	Professional		$416.87	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,659.59	Professional		$416.87	$707.95	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $7,762.47	Facility		$457.09	$954.99	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,388.44	Professional		$457.09	$812.83	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,230.27	Professional		$812.83	$1,047.13	$1,230.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,230.27	Professional		$588.84	$851.14	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $933.25 / $1,230.27	Professional		$5.01	$933.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $8,709.64	Facility		$2,570.40	$5,248.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,202.26	Professional		$436.52	$630.96	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,023.29	Professional		$691.83	$870.96	$1,023.29