Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $6,760.83	Facility		$562.34	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $776.25	Professional		$309.03	$371.54	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $954.99	Professional		$338.84	$758.58	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,288.25	Professional		$309.03	$588.84	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $4,677.35	Facility		$371.54	$741.31	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $2,454.71	Professional		$346.74	$630.96	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $891.25	Professional		$645.65	$776.25	$891.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $891.25	Professional		$616.60	$676.08	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $676.08 / $831.76	Professional		$5.01	$676.08	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $6,309.57	Facility		$2,041.74	$4,073.80	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $933.25	Professional		$338.84	$512.86	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $758.58	Professional		$512.86	$645.65	$758.58