Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,981.07 / $6,760.83	Facility		$831.76	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,148.15	Professional		$467.74	$562.34	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,445.44	Professional		$457.09	$1,148.15	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $2,238.72	Professional		$457.09	$851.14	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $13,182.57	Facility		$549.54	$1,096.48	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $4,786.30	Professional		$512.86	$933.25	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,348.96	Professional		$794.33	$1,023.29	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,047.13 / $1,288.25	Professional		$5.01	$1,047.13	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,120.11 / $15,488.17	Facility		$4,168.69	$9,120.11	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,380.38	Professional		$501.19	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Professional		$758.58	$954.99	$1,122.02