Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,570.40 / $6,760.83	Facility		$602.56	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $912.01	Professional		$323.59	$398.11	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $851.14 / $1,047.13	Professional		$323.59	$851.14	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $1,348.96	Professional		$338.84	$616.60	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $812.83 / $9,120.11	Facility		$380.19	$812.83	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $2,691.53	Professional		$363.08	$660.69	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $977.24	Professional		$549.54	$812.83	$977.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,000.00	Professional		$602.56	$707.95	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $724.44 / $954.99	Professional		$3.02	$724.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,762.47 / $10,715.19	Facility		$3,715.35	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $954.99	Professional		$363.08	$512.86	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14