Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,090.30 / $6,760.83	Facility		$426.58	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $977.24	Professional		$245.47	$380.19	$977.24
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 $257.04 / $588.84 / $977.24	Professional		$257.04	$588.84	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $1,023.29	Professional		$239.88	$489.78	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $616.60 / $7,413.10	Facility		$309.03	$616.60	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $2,754.23	Professional		$363.08	$676.08	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $954.99	Professional		$549.54	$676.08	$954.99
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 $389.05 / $676.08 / $977.24	Professional		$389.05	$676.08	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $741.31 / $977.24	Professional		$5.01	$741.31	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,317.64 / $11,748.98	Facility		$4,168.69	$8,317.64	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $812.83	Professional		$269.15	$426.58	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Professional		$489.78	$575.44	$831.76