Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $4,786.30 / $7,079.46	Facility		$457.09	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $1,148.15	Professional		$251.19	$371.54	$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 $275.42 / $630.96 / $794.33	Professional		$275.42	$630.96	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $1,148.15	Professional		$251.19	$467.74	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $14,454.40	Facility		$295.12	$602.56	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $2,041.74	Professional		$269.15	$489.78	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $724.44	Professional		$467.74	$602.56	$724.44
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 $478.63 / $524.81 / $724.44	Professional		$478.63	$524.81	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $562.34 / $691.83	Professional		$5.01	$562.34	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $15,488.17	Facility		$2,951.21	$6,606.93	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $724.44	Professional		$263.03	$380.19	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $616.60	Professional		$416.87	$524.81	$616.60