Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,981.07 / $6,760.83	Facility		$446.68	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $1,000.00	Professional		$251.19	$426.58	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $1,174.90	Professional		$281.84	$616.60	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $977.24	Professional		$251.19	$575.44	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $645.65 / $6,025.60	Facility		$331.13	$645.65	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $3,235.94	Professional		$416.87	$741.31	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,071.52	Professional		$588.84	$707.95	$1,071.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,148.15	Professional		$467.74	$741.31	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $794.33 / $1,174.90	Professional		$5.01	$794.33	$1,174.90
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 $281.84 / $457.09 / $933.25	Professional		$281.84	$457.09	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $977.24	Professional		$512.86	$630.96	$977.24