Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,511.89 / $6,760.83	Facility		$602.56	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,071.52	Professional		$338.84	$524.81	$1,071.52
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 $380.19 / $831.76 / $1,445.44	Professional		$380.19	$831.76	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $741.31 / $1,548.82	Professional		$338.84	$741.31	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $891.25 / $5,623.41	Facility		$436.52	$891.25	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $954.99 / $4,073.80	Professional		$524.81	$954.99	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,380.38	Professional		$794.33	$977.24	$1,380.38
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 $691.83 / $933.25 / $1,445.44	Professional		$691.83	$933.25	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,000.00 / $1,445.44	Professional		$5.01	$1,000.00	$1,445.44
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 $380.19 / $616.60 / $1,202.26	Professional		$380.19	$616.60	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,230.27	Professional		$691.83	$831.76	$1,230.27