Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,801.89 / $6,760.83	Facility		$588.84	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,258.93	Professional		$323.59	$524.81	$1,258.93
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 $363.08 / $831.76 / $1,318.26	Professional		$363.08	$831.76	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,148.15	Professional		$338.84	$724.44	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $851.14 / $6,309.57	Facility		$416.87	$851.14	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $4,073.80	Professional		$537.03	$954.99	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,348.96	Professional		$724.44	$933.25	$1,348.96
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 $616.60 / $891.25 / $1,479.11	Professional		$616.60	$891.25	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,000.00 / $1,479.11	Professional		$5.01	$1,000.00	$1,479.11
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 $371.54 / $602.56 / $1,202.26	Professional		$371.54	$602.56	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,230.27	Professional		$676.08	$831.76	$1,230.27