Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,511.89 / $6,760.83	Facility		$208.93	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $457.09	Professional		$114.82	$204.17	$457.09
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 $128.82 / $295.12 / $562.34	Professional		$128.82	$295.12	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $549.54	Professional		$120.23	$295.12	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $5,623.41	Facility		$151.36	$323.59	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $1,621.81	Professional		$204.17	$380.19	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $537.03	Professional		$269.15	$416.87	$537.03
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 $229.09 / $380.19 / $562.34	Professional		$229.09	$380.19	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $426.58 / $512.86	Professional		$5.01	$426.58	$512.86
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 $128.82 / $229.09 / $467.74	Professional		$128.82	$229.09	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $489.78	Professional		$239.88	$295.12	$489.78