Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $6,760.83	Facility		$575.44	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,047.13	Professional		$323.59	$512.86	$1,047.13
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 $371.54 / $812.83 / $1,412.54	Professional		$371.54	$812.83	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $2,041.74	Professional		$331.13	$707.95	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $5,623.41	Facility		$426.58	$851.14	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $3,981.07	Professional		$512.86	$933.25	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,318.26	Professional		$776.25	$933.25	$1,318.26
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 $645.65 / $933.25 / $1,412.54	Professional		$645.65	$933.25	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,023.29 / $1,412.54	Professional		$5.01	$1,023.29	$1,412.54
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 $371.54 / $588.84 / $1,148.15	Professional		$371.54	$588.84	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,202.26	Professional		$676.08	$812.83	$1,202.26