Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $6,760.83	Facility		$1,288.25	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,778.28	Professional		$707.95	$851.14	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,778.28 / $2,238.72	Professional		$676.08	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,754.23	Professional		$691.83	$1,258.93	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $4,677.35	Facility		$776.25	$1,621.81	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $5,623.41	Professional		$776.25	$1,412.54	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,041.74	Professional		$1,348.96	$1,778.28	$2,041.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,041.74	Professional		$954.99	$1,513.56	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,548.82 / $1,995.26	Professional		$5.01	$1,548.82	$1,995.26
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 $758.58 / $1,071.52 / $2,041.74	Professional		$758.58	$1,071.52	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24