Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,801.89 / $7,943.28	Facility		$363.08	$3,801.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $1,174.90	Professional		$204.17	$380.19	$1,174.90
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 $218.78 / $501.19 / $630.96	Professional		$218.78	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $724.44	Professional		$199.53	$371.54	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $478.63 / $7,943.28	Facility		$234.42	$478.63	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $1,584.89	Professional		$213.80	$389.05	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $575.44	Professional		$371.54	$478.63	$575.44
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 $338.84 / $416.87 / $575.44	Professional		$338.84	$416.87	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $426.58 / $549.54	Professional		$5.01	$426.58	$549.54
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 $208.93 / $295.12 / $575.44	Professional		$208.93	$295.12	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $489.78	Professional		$331.13	$416.87	$489.78