Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,511.89 / $6,760.83	Facility		$524.81	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $912.01	Professional		$295.12	$446.68	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,096.48	Professional		$316.23	$741.31	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $1,412.54	Professional		$295.12	$630.96	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $724.44 / $6,025.60	Facility		$354.81	$724.44	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $3,467.37	Professional		$436.52	$851.14	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,148.15	Professional		$645.65	$851.14	$1,148.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $1,288.25	Professional		$457.09	$776.25	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $812.83 / $977.24	Professional		$5.01	$812.83	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $8,912.51	Facility		$2,951.21	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,023.29	Professional		$323.59	$512.86	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,071.52	Professional		$616.60	$724.44	$1,071.52