Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $6,760.83	Facility		$616.60	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,047.13	Professional		$338.84	$501.19	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $1,412.54	Professional		$363.08	$831.76	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $1,023.29	Professional		$346.74	$707.95	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $7,585.78	Facility		$398.11	$794.33	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $3,890.45	Professional		$467.74	$933.25	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,288.25	Professional		$707.95	$977.24	$1,288.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $912.01 / $1,412.54	Professional		$467.74	$912.01	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $891.25 / $1,412.54	Professional		$5.01	$891.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $15,488.17	Facility		$2,951.21	$6,606.93	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,148.15	Professional		$371.54	$575.44	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,202.26	Professional		$724.44	$851.14	$1,202.26