Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $6,606.93 / $8,128.31	Facility		$363.08	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $724.44	Professional		$208.93	$354.81	$724.44
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 $229.09 / $512.86 / $912.01	Professional		$229.09	$512.86	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $1,000.00	Professional		$208.93	$501.19	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $6,309.57	Facility		$263.03	$549.54	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $2,818.38	Professional		$338.84	$630.96	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $933.25	Professional		$478.63	$588.84	$933.25
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 $371.54 / $616.60 / $1,000.00	Professional		$371.54	$616.60	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $1,023.29	Professional		$346.74	$707.95	$1,023.29
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 $229.09 / $389.05 / $776.25	Professional		$229.09	$389.05	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $851.14	Professional		$426.58	$524.81	$851.14