Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,801.89 / $6,760.83	Facility		$389.05	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $776.25	Professional		$223.87	$380.19	$776.25
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 $245.47 / $549.54 / $933.25	Professional		$245.47	$549.54	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $933.25	Professional		$223.87	$524.81	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $588.84 / $6,309.57	Facility		$288.40	$588.84	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $2,951.21	Professional		$371.54	$676.08	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $977.24	Professional		$512.86	$630.96	$977.24
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 $407.38 / $660.69 / $1,047.13	Professional		$407.38	$660.69	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $707.95 / $851.14	Professional		$5.01	$707.95	$851.14
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 $245.47 / $416.87 / $831.76	Professional		$245.47	$416.87	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $891.25	Professional		$457.09	$562.34	$891.25