Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,981.07 / $6,760.83	Facility		$331.13	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $446.68	Professional		$173.78	$218.78	$446.68
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 $194.98 / $467.74 / $575.44	Professional		$194.98	$467.74	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $630.96	Professional		$181.97	$338.84	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $7,943.28	Facility		$208.93	$426.58	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $1,479.11	Professional		$194.98	$354.81	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $524.81	Professional		$338.84	$436.52	$524.81
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 $354.81 / $371.54 / $524.81	Professional		$354.81	$371.54	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $389.05 / $501.19	Professional		$5.01	$389.05	$501.19
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 $186.21 / $269.15 / $512.86	Professional		$186.21	$269.15	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $446.68	Professional		$302.00	$380.19	$446.68