Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $7,943.28	Facility		$1,071.52	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,621.81	Professional		$588.84	$741.31	$1,621.81
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 $630.96 / $1,479.11 / $1,819.70	Professional		$630.96	$1,479.11	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,122.02 / $2,454.71	Professional		$616.60	$1,122.02	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $13,489.63	Facility		$691.83	$1,412.54	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $5,370.32	Professional		$676.08	$1,202.26	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,778.28	Professional		$1,122.02	$1,479.11	$1,778.28
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 $1,023.29 / $1,288.25 / $1,778.28	Professional		$1,023.29	$1,288.25	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,288.25 / $1,659.59	Professional		$7.08	$1,288.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $15,848.93	Facility		$4,677.35	$10,232.93	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,778.28	Professional		$645.65	$933.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56