Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,128.61 / $7,943.28	Facility		$1,258.93	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,905.46	Professional		$676.08	$831.76	$1,905.46
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 $724.44 / $1,698.24 / $2,137.96	Professional		$724.44	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $2,818.38	Professional		$707.95	$1,318.26	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $13,489.63	Facility		$812.83	$1,659.59	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $8,317.64	Professional		$794.33	$1,412.54	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,041.74	Professional		$1,348.96	$1,698.24	$2,041.74
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 $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,548.82 / $1,949.84	Professional		$7.08	$1,548.82	$1,949.84
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 $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 $1,174.90 / $1,479.11 / $1,737.80	Professional		$1,174.90	$1,479.11	$1,737.80